The Centre for Disability Law and Policy, National University of Ireland, Galway, Voice and Choice Summer School Held at the NUI, Galway 20 June 2013 Text streamed live to the web on www.seewritenow.ie Telephone ……………………………. (0404) 64355 Fax ……………….…………………... (0404) 64354 Email …………………………………. info@pcr.ie Website ……………………………….. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 1 NUIG Summer School - 20th June 2013: 2 3 CHAIR: Good morning everybody, we have the early morning risers, we're still waiting for 4 some, but the fact that people have arrived on time we'll start on time. 5 6 My name is Mary Keogh. I'm a final year PhD student here for with the Centre for Disability 7 Law and Policy; I also work with CBM Ireland. My role is advocacy coordinator focusing 8 around influencing policy around inclusive development. That's me. I'm pleased to be here for 9 the day and I hope, it looks like we have a busy agenda and you are coming to the end of a busy 10 week so we look forward to the discussions that we're going to have today. 11 12 This morning we're starting with Victoria Lee, Victoria is a human rights officer of the 13 Secretariat of the International Disability Alliance and works with UN treaty bodies, which 14 include the Committee on Rights of Persons with Disabilities and other treaty bodies to ensure 15 that the main stream of disability rights is in accordance with the CRPD. She has a long CV and 16 has worked with Mental Disability Advocacy Centre in South East Europe where she engaged in 17 strategic litigation before the European Court of Human Rights and European Committee of 18 Social Rights on issues of discrimination, she also worked as a legal officer with the World 19 Organisation Against Torture lodging cases through communication mechanisms. We're lucky 20 to have Victoria, she has a wide experience working in the UN system and without further ado 21 Victoria I will hand over to you to speak. 22 MS LEE: Thank you Mary, good morning everyone. I'm very happy to be here and honoured to 23 have been invited on behalf of the International Disability Alliance. As stated I work at the 24 Secretariat of the International Disability Alliance, or IDA based in Geneva. 25 26 Before I start I thought I'd give you background information about IDA so you can better 27 understand how we're involved in the work of the CRPD committee. 28 29 IDA is a network of regional organisations of persons with disabilities, we currently have 12 30 members, we have 8 global members and they are Down Syndrome International, Inclusion 31 International, Disabled People International, World Blind Union, World Network of Users and 32 Survivors of Psychiatry, World Federation of the Deaf, World Federation of Deaf/Blind and 33 International Federation of Hard of Hearing People. 34 Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 2 1 We have four regional members, including the European Disability Forum, Pass Circumstances 2 Disability Forum, Arab Organisation of Persons with Disabilities and the Latin American 3 Network of NGOs and persons with disabilities and their families. 4 5 So our members have national DPO members across the world and IDA was recently legally 6 incorporated, which is definitely a major milestone in strengthening the global leadership of 7 DPOs. 8 9 So IDA's mission is to advance the human rights of persons with disabilities, utilising the CRPD 10 and other human rights instruments as a united voice of DPOs. Our main activities include 11 advocacy before the UN, mainstreaming disability rights and CRPD standards across the treaty 12 bodies and Human Rights Council and also within the development agenda of the UN. We also 13 undertake capacity building of DPOs, focusing on global. 14 15 I will draw on IDA's experience throughout this presentation, and I will look at reporting to the 16 CRPD committee with a focus on parallel reporting by DPOs. 17 18 So hopefully by the end of this presentation you will have a better understanding of the reporting 19 process to the CRPD committee, understanding the process of drafting parallel reports and 20 interacting with the committee and also an understanding of other reporting opportunities for 21 DPOs. 22 23 Just to let you know I'm using a PowerPoint and it's quite comprehensive, I'm not going through 24 everything and no need to read everything at the moment, I think it will be made available to you 25 later so you can use it as a resource. And I will be stopping and taking some questions every 26 now and then, the first part is a little bit lengthy so please bear with me, then later on I do have 27 some extractors of videos I would like to share with you. 28 29 If I start with the CRPD committee so it's made up of 18 members they serve as independent 30 experts, although they are elected by states they serve independently. They have mandates of 31 four years and are eligible for re-election once. They are elected with consideration of equitable 32 geographical distribution, gender balance, representation of principal legal systems and of course 33 with participation of experts with disabilities. This picture I have on the PowerPoint is actually a 34 picture of the old committee dating from last September, from this year there will be five new Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 3 1 members in the committee, so currently the committee is composed of two members from Sub 2 Saharan Africa, 3 from the MENA region, 4 from Latin America, 6 from Europe, 3 from the 3 Asia Pacific region. 7 of the 18 are women and 17 of the 18 members are persons with 4 disabilities themselves. 5 6 The committee's activities. Firstly they review state reports and adopt concluding objections or 7 recommendations. They receive individual communications and issue views on decisions, they 8 undertake inquiries into states parties when there is reliable information of grave and systematic 9 violations of Convention and they also hold thematic discussions or days of general discussion. 10 11 So far they have held three, in 2009 they held one on legal capacity, 2010 on accessibility and 12 just in April this year they held a half day of discussion on women and girls with disabilities. 13 And usually these thematic discussions lead to drafting of general comments and general 14 comments are basically elaboration of the interpretation of the committee on provisions of the 15 CRPD and currently, so they are working on general comments on Article 12, Article 9 and 16 Article 6. 17 18 So specifically looking at state party reporting, once the state party ratifies the Convention they 19 need to submit an initial report highlighting the measures they have taken to implement the 20 different provisions of the Convention and then that will be their initial report and then every 21 four years they are meant to submit a periodic report updating the committee on implementation 22 measures. 23 24 The committee has also issued reporting guidelines to help and guide states in their reporting 25 obligations. 26 27 And the Convention itself and reporting guidelines and also document of the committee called 28 working methods highlight the role of DPOs in the reporting, state reporting to the committee. 29 So state parties are supposed to consult with DPOs in elaboration of their state reports, to hear 30 from DPOs what are their concerns, what are the challenges, which areas could be better 31 improved. 32 33 Of course this does not always happen or it doesn't happen effectively or meaningfully, which is 34 why parallel reporting is so important. So basically parallel reporting is reporting by civil Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 4 1 society and in the case of CRPD committee the DPOs to provide information to the committee 2 from all persons with disabilities with respect to their lived experiences of the enjoyment and 3 exercise of all rights under the Convention, of course covering the whole country. 4 5 It's very important for DPOs to engage in parallel reporting because it's a key opportunity for 6 them to raise their concerns, it offers DPOs a legitimate external source to which disability 7 issues can be raised and addressed, it opens up public scrutiny of the issues and enables open 8 debate. 9 10 And parallel reporting's objective is to obtain strong recommendations by the committee directed 11 to the government for better implementation of the CRPD. 12 13 Now governments, when they are engaging with the CRPD committee or any treaty bodies for 14 that matter it's definitely their tendency to praise or talk about the achievements they have made, 15 they like to show off on the measures they have taken or the laws they have implemented or 16 adopted, and they don't go so much into detail about the challenges that they are facing in 17 implementing the Convention, which is why the parallel report is so important for the committee 18 to get a balanced and objective view of what are the major challenges and barriers to CRPD 19 implementation on the ground. 20 21 So of course the State reports, the committee will receive the State report but when they receive 22 the parallel report, they are sometimes called a shadow report or alternative report; they should 23 be receiving information, which normally the State does not put forward. 24 25 So parallel report of course should not simply repeat what a State report says, it needs to 26 compliment that, it needs to identify the gaps and highlight priority area, present specific reliable 27 and objective information so the committee can undertake an independent assessment of CRPD 28 implementation in the country. Normally a State report should highlight challenges to 29 implementation looking specifically at where implementation is being blocked, it might be a 30 matter of ineffective laws or discriminatory laws which need to be repealed or replaced, it could 31 be that they are ineffective remedies in order for rights to be upheld. There might be not enough 32 budget invested into CRPD implementation, there could be a lack of training of personnel, so 33 these are the concrete things that the CRPD wants to hear about in order to make really strong 34 recommendations to the State. Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 5 1 2 It's not about condemning the State for what it's doing or not doing, but really to engage in the 3 constructive process to help the State in achieving the CRPD implementation. 4 5 So when DPOs are engaging in parallel reporting, normally it's a preferred method that they 6 engage, they dough this in a coalition, so this is just a few steps that DPOs might take in the 7 elaboration of their parallel report. 8 9 So building their coalition, having their initial review the key issues, key priority areas of 10 concern, conducting a legal review of how the CRPD is being lived up to in national legislation, 11 analysing the existing data, perhaps conducting additional research and data collection, to come 12 to an analysis and elaboration of recommendations by all constituencies and then of course to the 13 final elaboration of the parallel report. 14 15 So it's definitely the preferred method that these parallel reports are done within a coalition, 16 treaty bodies, not just the CRPD committee but all treaty bodies prefer that because it gives them 17 a clear view of what civil society is thinking. If there are several reports being submitted with 18 different priorities coming across it's very difficult for the committee to then have an objective 19 view of what is the most important, what's the most pressing issues. It's also very much a matter 20 of practicality, the committee and other treaty bodies have several reports to review, several 21 countries to review, receiving length estate reports, receiving many civil society submissions, so 22 they don't have the time to read in depth several different submissions and to analyse the 23 different articulate and perhaps the different distinctions and priorities amongst the different 24 reports. 25 26 So it's definitely a matter of practicality but also a coalition report creates a legitimacy to the 27 information submitted. 28 29 It's very important as well that, and this is something that IDA has been stressing in our capacity 30 building, that the report is about all persons with disabilities across all the States. It's not 31 uncommon for coalition groups to be neglecting or overlooking certain issues or certain groups 32 of persons with disabilities, simply because they are not actively involved in advocacy, they 33 have been marginalised, often invisible, so from our experience we have seen a lot of coalition 34 processes in different countries where persons with intellectual disabilities are really being Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 6 1 marginalised, or deaf persons, indigenous persons with disabilities, we are really stressing with 2 DPOs that they need to have a broad view, a comprehensive view, which groups all persons, all 3 different constituencies across all the region, not just the capital, but also remote rural regions, 4 with a view to all rights. 5 6 It's very common in many country that is they have a strong focus on economic social cultural 7 rights or perhaps more developed countries have a strong focus on civil and political rights, it's 8 important that as the Convention is a hybrid instrument covering all rights, the committee does 9 want to hear and receive information with respect to all of that. 10 11 So well it's been challenging we do need to ask these questions to ensure that all groups are 12 being considered in the review process. And it's very much a process the coalition building and 13 parallel report drafting is very much a process, which is just as important as the end outcome of 14 the recommendations. 15 16 It's about the coalition coming together in many countries there might be a loose coalition, many 17 groups perhaps had not been part of that, but it's about bringing them altogether, to learn 18 together, to read the CRPD, to come to a common understanding of what that means and 19 understanding which lives up to the committee's interpretation. So it's about knowledge building 20 and partnership building and of course the results of that should be, should out last the CRPD 21 review process, it should continue with respect to national advocacy and other advocacy goals. 22 23 So we need to also ask ourselves are we effectively consulting with children with disabilities, are 24 they speak for themselves in that consultation, are we covering indigenous persons with 25 disabilities -- this has been coming up very often with respect to Latin American countries which 26 have been reviewed recently, Paraguay, El Salvador, Peru and also Australia. 27 28 So while DPO coalitions of course are important and should take the lead role in parallel 29 reporting to the CRPD committee there is also of course a place for other organisations, other 30 mainstream human rights organisations and for example the Australian DPOs and DPOs in 31 Hungary were very inclusive of other NGOs involving mainstream human rights NGOs, 32 women's rights NGOs and children's rights NGOs, because they all have their expertise and 33 often implementation barriers are very much linked to institutional weaknesses in the country, 34 and these other organisations might have perhaps more experience in working and advocating Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 7 1 the government with respect to those weaknesses and there is a lot that they can contribute to the 2 whole process. 3 4 It's also been very important to engage with other organisations and academic institutions with 5 respect to data collection. DPOs in El Salvador are partnering with a university there, which is 6 taking on the role of collecting data, which contributes directly to their parallel report. 7 8 In the Philippines DPOs are actively engaging with women's rights NGOs and NGOs working 9 on economic, social and cultural rights. There is an NGO called social watch Philippines which 10 has great expertise in analysing, undertaking budget analysis, so they are working together now 11 to look at disability rights budgeting and seeing how the government is spending the money or 12 not spending the money with respect to up holding disability rights. 13 14 So of course research data and statistics play a very central role to DPO reporting. Often as we 15 all know there is a lack of data and absence of data with respect to persons with disabilities or 16 children with disabilities, so it's about not only highlighting the data that's available through the 17 government or through civil society or academic institutions, but also looking at what's not 18 available and what DPOs can do to try to gather information. 19 20 Any small scale amount of data is better than nothing for the committee and DPOs can think 21 about doing a surveyor focus, having a focus group on a municipal level or a city level in order 22 to give information to the committee which they can then base their analysis upon. So for 23 example in Uganda DPOs there have been under taking surveys through their membership 24 organisations in the country, firstly just to see how many members, how many different 25 disability groups are being represented. And this is also happening in Mali through their 26 membership structures. 27 28 So just some key points on drafting a parallel report, the aim of course to be comprehensive, but 29 highlighting the key issues and priorities. Make clear, concrete and targeted recommendations, 30 often these recommendations could be simply incorporated into the committee's own concluding 31 observations, if they are very well formulated. So it's very important to get the message across, 32 what are your key concerns. 33 34 Recommendations should also be smart, specific, measurable, attainable, relevant and time Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 8 1 bound. Identify responsible actors, propose a timeframe for implementation, this helps the State 2 to then implement those recommendations. If it's a simple recommendation to implement 3 inclusive education often the State does not know where to start but if the recommendation 4 identifies the actors responsible, the Ministries, identifies specific actions to take, perhaps a law 5 needs to be revised or training needs to be undertaken, budget needs to be allocated that really 6 acts as a guide for States to then take that forward and make that, take that action. 7 8 So IDA has develop add guidance document to help DPOs in the parallel reporting process. It 9 really gives a clear outline of the review process, the different concerns they should be looking at 10 under each provision of the CRPD and that's available on our website, available in English, 11 French, Spanish and Arabic. It has been from our experience it has been quite a help to DPOs 12 starting off from scratch. 13 14 So I'm just, before I stop to ask if there is any questions on this, I just want to give some 15 examples of some good practices by DPOs in their parallel reporting, so I have one example 16 from a DPO report on China. Which of course it's very important in the beginning of their 17 parallel report to highlight what are the systemic issues, what are the structural barriers to 18 implementing the CRPD and the DPO report in China was able to clearly set this out, firstly 19 setting out the identification of persons with disabilities by the government is NDA yet which is 20 reflected by the low statistics of persons with disabilities, that of course is linked with the narrow 21 scope and overall approach to disability, there is an inappropriate use of terminology by the 22 government which adds to the entrenching of the negative image of persons with disabilities in 23 the country, lack of legitimate and diversified consultation, inadequate formulation of laws, lack 24 of remedies, and disparity between urban and rural areas and of course corruption. 25 26 So the DPOs were able to highlight that in a page, where I was very helpful for the committee to 27 know what were the key concerns they will be focusing on in the review. 28 29 With respect to Austria and Australia the DPOs were able to be inclusive in their reviews, in the 30 information provided. So with respect to Austria they had a lot of information on women and 31 girls with disabilities, it was not just concentrate to article 6 to the analysis under article 6 but it 32 was very much mainstream throughout their parallel report with respect to all provisions. Sop 33 they were able to look at multiple discrimination, intersectional discrimination, bringing forth 34 statistics about low employment, the low education achievement level of girls with disabilities Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 linked to low employment level of women with disabilities and the very big disparity of the 2 salaries between women with disabilities and women without disabilities and women with 3 disabilities and men with disabilities. 9 4 5 In Australia the DPO report was very good at mainstreaming indigenous persons with disabilities 6 throughout their analysis of CRPD implementation, so these are very good examples of how 7 DPOs can be inclusive in their reporting. 8 9 I have an example with respect to Japan, unfortunately Japan has not ratified the CRPD yet, this 10 was an example linked to a report they submitted to the committee against torture and I just want 11 to highlight it because I think it shows, it's a good way that they have presented the information. 12 13 So they were able to refer to the budget to show that there is a lack of political will and refer to 14 the comparable practices in other countries. So Japan has the highest rate of admission to 15 psychiatric hospitals in the OECD countries and it was the DPOs in Japan were able to highlight 16 that 97% of mental health budget is targeted at psychiatric hospitals and only 3% is invested in 17 community based services. 18 19 So bringing this information to the committee against torture was very revelatory of where 20 political will lies, where the government's political will lies and how it's not living up to the right 21 to live in the community for persons with disabilities. 22 23 As I said the Philippines is engaging in disability rights budgeting analysis and India as well. 24 Just to show how the government is making use of the maximum available resources. 25 26 Also linked to the report to Japan it's very useful for DPOs or civil vote to highlight the specific 27 political and cultural context that the country is, that implementation is being conducted in. 28 29 So again with respect to Japan it's a family based society, social and welfare benefits are targeted 30 at families and not individuals and that directly links to the high rate of possible involuntary 31 hospital admissions made of persons with psychosocial disabilities, often families don't receive 32 support to take care of their family member at home, and they are often forced, they have no 33 other resort, no other recourse but to resort to involuntary hospital admissions. 34 Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 10 1 With respect to China, of course it was very important to highlight China's one child policy and 2 that links directly with the practice of infanticide of newborns with disabilities. Often parents 3 who have a baby with a disability, they could resort to infanticide in order to ensure they could 4 have another child and hope it will not be a child with a disability. 5 6 With respect to Spain, it's very important as well for DPOs to elaborate on government action or 7 inaction, the State report of the Spanish government stated clearly that their legislation is in full 8 complains with Article 5, they have effective supervisory and sanction mechanisms in place. So 9 the DPOs in Spain were able to rebut that. They said the legislation is not in compliance with 10 the CRPD, Spanish law extend benefits and protection against discrimination to persons with 11 disabilities, depending on their degree of disability, that is not in line with the CRPD. Also with 12 respect to the supervisory and sanction mechanisms, the DPO highlighted that there is no data 13 available on that, there perhaps have been ten complaints submitted but they have no information 14 on what action has been taken with respect to those complaints, and also highlighted that the 15 procedure is very slow. 16 17 So in that way as you can see, if the committee had just had the government's report at hand they 18 could very much believe all is well, but the DPOs were able to go into detail to highlight where 19 the problems lie. 20 21 So an example of recommendation that is are smart, concrete and constructive, DPOs in China 22 highlighted the non-compliance of Article 14 of the Convention in the country, so persons with 23 disabilities are being deprived of their liberty based on their disability and they made a 24 recommendation to ensure that legislation permitting that was repealed and that community 25 based services are developed and that there is investment in ensuring that persons with 26 disabilities who are institutionalised are moved out of institutions and into the community. 27 28 But they were very strategic because of course that will not happen overnight, so they specified 29 that in the lead up to that action, in the lead up to repealing those legislative provisions, that 30 persons with disabilities who are institutionalised have the right to release through judicial 31 process and that they can appeal their placement decisions and that of course that reasonable 32 accommodation is provided to them in detention settings. 33 34 With respect to Tunisia when the committee was reviewing them they had just under gone the Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 11 1 revolution, that recommendation was very much formulated in the context, they made 2 recommendations about persons with disabilities being involved and having facilitated access to 3 the up coming democratic elections and that they were involved in the drafting of a new 4 constitution. 5 6 Another good example of DPO parallel reporting is referring to other treaty body 7 recommendations, so for example DPO report on Paraguay, they knew that there were already 8 strong recommendations that had come out of the other treaty bodies such as the subcommittee 9 for the prevention of torture and also some recommendations by the special rapporteur on the 10 right to education, so they were able to refer to that to strengthen and reinforce their own 11 analysis and recommendations. 12 13 So it's very difficult at times for DPOs to figure out what are their priorities everything is 14 important, all human rights are interdependent, they are all as important as each other, so it's 15 sometimes difficult to then highlight, where are the key concerns, because they don't want to 16 neglect certain areas. 17 18 But in practical terms the committee of course has limited time, they have limited time to read 19 submissions and to get a grasp of all the issues, and they also have limits on their, for example 20 they have word limits on their recommendations and strategic observations. We need to be 21 strategic when reporting to the committee, it's difficult but we need to filter out what are the key 22 core issues we would like to get recommendations on. 23 24 So most certainly the priorities will be focused on addressing the system, where systemic 25 changes we are seeking. How can we propose sustainable solutions? Often that involves 26 looking, obtaining recommendations regarding a human rights approach, so moving away from 27 the medical model to the social and human rights model, mainstreaming of disability issues if 28 disability issues are mainstreamed that's half the work done. Awareness raising, ensuring public 29 and government officials and others are sufficiently educated about the CRPD and what the 30 human rights model means, data collection, formulation of laws, and also of course training, 31 monitoring and evaluation. 32 33 These issues of course will have the greatest impact on the greatest number of rights holders, so 34 of course that in itself calls for a priority action. Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 12 1 2 But of course we cannot neglect when there are flagrant discriminatory provisions and practices 3 in a country, so they might not affect hundreds of thousands of persons with disabilities but we 4 can not stand that these provisions continue because they are no longer acceptable under the 5 CRPD. 6 7 Sop for example the discriminatory provisions in the law for abortion with respect to foetal 8 impairment, this first came up with respect to Spain. In Spain according to the law abortions can 9 be carried out up to 14 weeks, but if there is a detection of a foetal impairment abortion can be 10 carried out up to 22 weeks, so this was a clear distinction based on disability which, if it 11 continued to stand of course caused many problems -- it did not respect the principles and 12 provisions of the CRPD. So it was very necessary according to DPOs to raise that before the 13 committee. And that was taken up by the committee and included in their concluding 14 observations. 15 16 Another example which of course does not affect the large bulk of persons with disabilities in 17 the country was in China there had been abductions of children, persons with intellectual 18 disabilities and they were abducted and they were forcibly, they were made to forcibly work in 19 mines, sometimes they had been killed in so called mining accidents, the results of which the 20 mining company would receive compensation for the death of that worker. So there had not 21 been effective investigation into those practices, there had not been effective prosecutions, so it 22 was very, a priority issue that was brought up which addressed the impunity of perpetrators of 23 violations of the CRPD of discrimination of violation of the right to life. So it was an issue 24 which was a priority. 25 26 And of course it has been a priority in most DPO reports is the practice of forced sterilization of 27 women with disabilities. Of course that does not necessarily affect all women with disabilities, 28 nevertheless, it's a practice that has been hidden, it's a practice for which the law continues to 29 permit and which needed to be addressed as a priority issue. 30 31 So incoming to conclusions about what are the priorities DPOs should consider the political 32 climate, ledge legislative agenda, up coming opportunities such as elections and you can see that 33 in the DPO reports they have very much taken that into consideration. 34 Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 13 1 So I might just pause there to ask if there are any questions about this first part? About the 2 parallel reporting? I'm going to go into more detail about the process before the CRPD 3 committee, but first wanted to ask if there is any questions about DPO parallel reporting? Just a 4 few questions, because we don't want to get held up. 5 SPEAKER: Thanks Victoria, one question is, two small questions, first how is working right 6 now -- how much politics is involved during the process? So how States are interacting with 7 members of the committee during the negotiations? 8 9 And the second one is about how the committee has taken into account this parallel report, how 10 much of it has been with DPOs during the process. 11 MS LEE: Okay I'll take another question over there. 12 SPEAKER: I want to know what standing a DPO must have before it's report may be taken 13 seriously by the committee? 14 MS LEE: What standing? 15 SPEAKER: I mean what kind of profile a DPO must have before it's report is likely to be taken 16 seriously by the committee, number one. 17 18 And number two is can educational institutions or centres in disability studies also present, 19 submit parallel reports. 20 21 And third, where can I read these parallel reports, are they available on the website of the CRPD 22 committee, thank you. 23 MS LEE: All right I'll just take those questions then. So first Alberto yes in the end it's always 24 political process, because it involves States, so from what I've seen so far, the committee has 25 reviewed 7 States and there has been quite active participation by government delegations. I 26 think we can even see from when we're there in the room how seriously the government is taking 27 the review process by how many people have been sent to Geneva to speak with the committee. 28 29 With respect to China it was something very rare, they had about 50 people from the government 30 filling up the room, they even took part of the NGO section. 31 32 With respect to Peru there were only three people and that was quite disappointing we could see 33 that the government was not really putting a lot of focus, making efforts to respond to the 34 committee. And that was very interesting because Peru was reviewed by the CRPD committee Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 14 1 in one week, three people attended from the government, from the delegation and then it was 2 reviewed by a committee on economic, social and cultural rights two weeks later, they had quite 3 a large delegation, at least 10 people, so you can see how the government is giving priorities to 4 different treaty bodies to the different rights being examined in those treaty bodies. 5 6 But nevertheless governments have shown a lot of openness and willingness to listen to the 7 committee. Of course we'll see how far that translates into action, but I think they have been 8 very much willing to learn from the committee, from the beginning of the CRPD review 9 processes, so they have been open to listening. 10 11 With respect to how the committee is taking into account parallel reports. I would say that they 12 have been taking them into account very well. They are very open to civil society input and of 13 course DPO input, and often if we really exam the DPO reports and look at their concluding 14 observations we can see how whole sections have been translated into the concluding 15 observations. We can even see during the constructive dialogue taking place in Geneva the 16 questions posed by committee members are often linked to the issues that the DPOs have raised 17 so it's very, it's working very effectively. 18 19 With respect to the profile of DPOs to make submissions to be taken seriously. As I said the 20 committee prefers receiving coalition reports, so by coalitions of DPOs. Because there is more 21 weight given to that, it's supported by several different DPOs, in some cases for example in 22 Paraguay they have been supported by 50 different organisations, in Australia their reports are 23 endorsed by 70 DPOs and human rights organisations, so it's just a lot easier for the committee 24 to receive those coalition reports. 25 26 Of course they will receive reports from individual DPOs as well but if they know how many 27 organisations are behind it they will give that weight accordingly. 28 29 With respect to educational institutions and academic centres, yes of course they can also make 30 submissions. Again if they can partner with DPOs or DPO coalition that just facilitates the 31 interaction with the committee and facilitates the coordination of issue and how the information 32 is presented. 33 34 And finally where to read the parallel reports. On the committee website they have a website for Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 15 1 each session and they post the DPO civil society reports which are submitted on that country, 2 which will be examined in that session. On IDA's website as well we have also re grouped all 3 the different DPO reports so you can look at that on our website. 4 5 So I might continue now to look more at the reporting process, look at the different stages of the 6 review so I've got this circular schema up on the PowerPoint, which shows the different stages of 7 review before the CRPD committee. 8 9 It starts off of course with ratification after which the next step is for the State to submit the 10 initial report. Once that's submitted the committee undertakes a preliminary review of that report 11 and adopts what's called the list of issues of the list of issues is simply a list of questions that the 12 committee sends to the State asking for clarification on certain issues, perhaps they didn't 13 understand certain part of the State report or didn't have enough information or statistics with 14 respect to a part of it have, it's just a list of questions which the government should reply to 15 within two months. 16 17 It's an official written reply and of course that reply is also translated. So the State report, 18 committee's list of issues and written reply are all translated into the UN languages and also 19 concluding objections. Once the government send written replies the next stage is for interactive 20 dialogue which takes place in Geneva, so committee members will be there, the government will 21 send a delegation, they will review the State report within six-hours, so it's a whole day of the 22 committee's time. 23 24 The head of the government delegation will first open with general overview, perhaps some 25 updates since the State report was submitted which lasts about 15 to 20 minutes after which a 26 committee member who is particularly designated as the country rapporteur on that country will 27 take the floor and start asking their questions. 28 29 So the committee usually examines reports through clusters so it will start with for example 30 articles 1 to 5 or articles 1 to 10 and look at articles 11 to 20 and then 21 to 33, so the end of the 31 session they will have covered all articles and heard the government's information on 32 implementation of all CRPD articles. 33 34 After the dialogue the committee will meet in closed session to adopt the concluding Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 16 1 observations, so the concluding observations are simply recommendations directed to the 2 government, highlighting the area in which they really need to work to improve implementation 3 of the CRPD. 4 5 In the concluding observations it's a practice that the committee has been doing since the review 6 of Peru, they have now been identifying certain paragraphs of the recommendations for which 7 they want the government to report back on within two years or one year, so they have been 8 highlighting what areas are for urgent follow up within a year or two years and asking the 9 government to report back on that, we think that's a very good practice because reporting back 10 within four years is a lengthy time and perhaps that could even be longer with a backlog of the 11 committee's work at the moment, sob issues of immediate follow up help the government to 12 focus on priority issues. 13 14 So after concluding observations are adopted the next step is for the government to implement 15 those recommendations to report back on those immediate follow up issues and to continue up 16 holding the rights of the CRPD. 17 18 And then the cycle starts again, they will submit their periodic report and go on that way. So 19 that's the reporting process. And now we can look at where DPOs can be involved in process. 20 21 So up on this PowerPoint I have now the blue circles which represent the different points of 22 DPO interaction, so of course DPOs can start by being, well State party has an obligation to 23 consult DPOs in the formulation of the State report. 24 25 Once the State report has been formulated, drafted DPOs can submit their open parallel report. 26 In addition they can submit a specific document or submission on the list of issues, so together 27 with their parallel report which covers everything, then they might decide to make a submission 28 which is shorter which looks at list of issues which highlights priority issues and proposes 29 certain questions that the committee might consider incorporating into the list of issues sent to 30 the government. 31 32 So that's a written submission, but there is also time for, and space for DPOs to come to Geneva 33 to hold a briefing with the committee before the committee officially adopts their list of issues 34 and IDA have been facilitating that DPO participation in Geneva and been holding what we call Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 17 1 lunchtime side events or coffee briefing side events in which DPOs are able to brief the 2 committee, the committee members are able to ask questions to get clarification on what are the 3 main issues, and that really, we've seen that really helps the committee to focus on, better focus 4 their list of issues. 5 6 The committee sends the list of issues and awaits the government's responses. At the same time 7 we really encourage DPOs to send themselves, their own responses to those list of issues, so that 8 when the committee receives the responses from the government they have that and they also 9 have responses from the DPO so they are able to compare how the government sees they have 10 been implementing this or what statistics government has in hand and what is the view of DPOs 11 on that same question, so together that really facilitates the committee's review of the concerns. 12 13 The next step of course will be the interactive dialogue and before the interactive dialogue takes 14 place there is also space for DPOs to come to Geneva, there are two different briefing that will 15 be taking place T one is during the formal session of the committee they have made some time 16 available for DPOs in a private session, so it's only open to DPOs, States are not allowed of 17 course, to brief the committee and that's really useful because there is interpretation provided and 18 they are able to brief the committee, often there is not enough time for committee members to 19 ask questions, but it's a good opportunity for them to address, for DPOs to address the committee 20 and then of course we again hold a side event during lunch time or in the morning, for there to be 21 more time for exchange between DPOs and committee members. 22 23 That's very useful for committee members to really focus their questions that they are going to 24 be asking the government delegation during the dialogue. Of course the dialogue will take place, 25 DPOs will be present, of course they do not have the right to speak during those dialogues, but 26 again it's very important for DPOs to be present, to listen, to follow the dialogue, there is often 27 breaks where the government delegation meets in private in order to prepare their answers to 28 committee questions, in these breaks of course it's open for DPOs to address, to approach 29 committee members, they might say well the government's response on that was completely 30 inadequate, they forgot to mention this, or that's completely erroneous what they said, or just to 31 provide clarification as the DPOs are the ones with the experience and expertise on the ground. 32 33 Once the concluding observations are adopted we say that this is actually where all the work 34 starts for DPOs, where the hard work actually starts. To take the recommendations of the Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 18 1 committee and make them mean something on the ground in the country, so is to take them and 2 advocate, to propose to work with the government, to work with different actors, to ensure that 3 those recommendations are translated into real action. 4 5 So those are the different steps of the review process and the ways that DPOs can participate in 6 that. As you can see there are different, several different opportunities for DPOs to engage in 7 face-to-face briefings with the committee. The side event on list of issues, private formal 8 briefing to the committee members, the side event before the dialogue and of course we also 9 facilitate informal meetings between DPO and the country rapporteur or DPOs and other 10 members of the committee, so they have more time to discuss more freely. 11 12 There have been occasions where DPOs were not able to come to Geneva to present to the 13 committee for different reasons, the first country under review Tunisia had just undergone their 14 revolution and they were not able to engage in the reporting process. So of course we still 15 wanted committee members to hear what were the concerns of Tunisian DPOs on the ground so 16 IDA was able to visit Tunisia to gather together grass-roots level DPOs to hear from them, what 17 are their concerns what do they want to get out of this committee review process, what will help 18 them the most in continuing implementation of the CRPD. 19 20 So we were able to present a submission in their name and also to brief the committee on their 21 behalf. 22 23 With respect to main land China, of course we all know the security concerns that are opposed to 24 DPOs and human rights NGOs, it was their choice not to come to Geneva they felt the risks were 25 too high but before the review took place we were able to engage with main land DPOs and 26 DPOs from Hong Kong in Hong Kong, in a training workshop, to hear from them, their main 27 concerns, and draft it together as a submission, of course their names do not appear on that, they 28 wanted to submit that anonymously through IDA, so we were able to do that for them and to 29 present the information to the committee on their behalf. 30 31 Our role is really to facilitate DPO participation and we try to overcome the different obstacles, 32 which are facing DPOs in real life situations. 33 34 So I just have some pictures up of DPO briefings to the committee, there is pictures from the Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 19 1 DPO delegation from Paraguay, Hong Kong and from Argentina. And here we see a self- 2 advocate from Paraguay addressing the committee through sign language; there is also pictures 3 of DPO delegations from Australia, Austria and El Salvador. 4 5 So I just want to stop there. I still have more, but just stop there to ask if there are any questions 6 on the review process or DPO interaction in Geneva? 7 SPEAKER: I would like just to hear your view of the situation that we had in Serbia, so DPOs 8 were invited to participate in the drafting of State report and there was a stand of national 9 disability organisation that they didn't want to participate in drafting of State report, but they 10 would rather send their parallel report. So could you comment on that? Because I believe that 11 DPOs can both participate in helping State to draft the report but also submit their independent 12 report, so I was just wondering whether you can comment on that, thank you? 13 SPEAKER: You talk about shadow report from DPOs in China and I am wear of the DPO could 14 not go to Geneva for the meeting; you also talk about strategies for IDA to hear from the DPOs 15 in China concerning political issues and atmosphere. I wonder how IDA can promote and help 16 DPOs to have open dialogue with the government, so that the two sides can represent a 17 comparatively true picture of what the disability rights situation in the countries, through the 18 process. I mean talking with DPOs privately is helpful to get a true voice, but I would think 19 initiating an open dialogue between the government, the State, and the DPOs in their own 20 countries would be more helpful and sustainable. Thank you. 21 SPEAKER: I've got a question regarding the involvement of DPOs after the concluding 22 observations have been published. You said there are ways to facilitate the implementation of 23 those recommendations in the State party. Would you have promising examples that you could 24 refer to or that could serve as good examples for countries like Germany, how this could be 25 done? 26 SPEAKER: Good morning, first I'd like to thank you for a very interesting presentation. I'm 27 just curious to know, you were talking about points of engagement with the committee and you 28 listed a number of them, I wondered if IDA or other organisations have also given consideration 29 to using the conference of estates parties as an opportunity to engage with members of the 30 committee, because certainly those folks or some of them participate in those meetings in New 31 York city and I know NGOs from the Americas for example often find it easier to get to those 32 than they do to meetings in Geneva and so on. 33 MS LEE: Right I'll start with those questions. So the example from Serbia, that's actually 34 something that commonly happens, where States of course through their consultation with DPOs Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 20 might propose that the DPO take part in the drafting of the State report. 2 3 We pretty much advise DPOs not to take part in the drafting itself, of course to take part in the 4 process, to air their concerns to the government but not to be involved in actual drafting, because 5 we find that often binds them to then not be free to draft their own parallel report and the 6 government can easily say these DPOs some of them are the authors of our own report, so 7 obviously their views are reflected. 8 9 So in order to counter that argument we would rather propose that DPOs take part, they give 10 their views but they do not take part in the actual drafting, so that they are free to draft their own 11 report and give their own views. Of course the government may not reflect their views in their 12 own report that's up to them and often that's the case, but, which is why the parallel reporting 13 process is all the more important that DPOs can independently say and share what their views 14 are through an independent report. 15 16 With respect to China, certainly we encourage DPOs to work with the government, to have open 17 dialogue with the government, to ensure that CRPD is implemented. CRPD cannot be 18 implemented without DPOs we know Article 4.3 the State has an obligation to actively involve 19 and closely consult DPOs in the formulation of laws and implementation of all aspects of the 20 Convention. So in that sense definitely DPOs have a huge role to play. However, in certain 21 country situations and of course we can not say which are those country situations, but we have 22 to trust that the DPOs know that themselves, this co-operation and open dialogue could not be 23 done in a constructive manner, perhaps not yet. 24 25 We were so we were to really speak freely with our DPO partners in main land China and they 26 were, they took the decision themselves that they would participate in our workshop and give us 27 information and make submission anonymously. However they did not feel that it was -- they 28 felt that their situation would be at risk if they were to divulge their identities. 29 30 So in that kind of difficult situation where open dialogue is not yet feasible we have to think of 31 other strategies, other ways to ensure that the CRPD is implemented. And in China in particular 32 one of the major issues that was brought up was that the government claims that it consults with 33 DPOs and consults with China disabled person's federation which from what we've heard is 34 another arm of the government, so it's not independent representation of DPOs. Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 21 1 2 So that was, that's stipulated by law that the government consults with this one umbrella 3 organisation. So one of the important aspects of the review was how to ensure that the 4 government consults with a diversified range of DPO not just CPD F, that came out in 5 concluding observations and that was one of the points that the committee identified as an area 6 of immediate follow up within one year for that law to be revised and for the government top 7 open up its consultation with other organisations and not just this one structure. 8 9 10 So yes we encourage open dialogue but of course it's a case-by-case basis. With respect to the different political, cultural and other concerns and contexts. 11 12 Concrete examples of how DPOs have been involved in the concluding observation 13 implementation. Well with respect top Tunisia there were some concrete concluding 14 observations on the elections, first democratic election in 50 years in Tunisia and also on the 15 drafting of their new constitution that DPOs are involved and that was very much, that was 16 carried out, DPOs were very active in calling on the government to ensure that the elections 17 would be accessible, that the elections would be open to all persons with disabilities and they 18 were very active in training and interacting with the government in how to ensure that that would 19 work. 20 21 With respect to the new constitution they are also involved, they are still involved in the drafting 22 of that constitution and currently working on ensuring a specific provision on the rights of 23 persons with disabilities in the constitution. It hasn't been easy, but they have been working with 24 other human rights organisations and other experts to ensure that the new constitution will 25 include them. 26 27 Other examples, with respect to Peru, at list of issue stage it was raised that there had been the 28 removal of over 20,000 persons who were largely persons with intellectual disabilities from the 29 electoral register, after the committee adopted their list of issues and highlighted a question on 30 the right of persons with disabilities to vote, the Peruvian government already took steps 31 between that time and constructive dialogue took steps to try to reintegrate those people in the 32 electoral register, of course there were other barriers involved, some steps taken thanks to DPOs 33 lobbying on the ground and active in that area. 34 Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 22 1 I will need to think about that more. But I will get back to you on that. But yes, as I said the 2 recommendations cannot be implemented without DPO submission and that comes out clearly 3 throughout all concluding observations of the committee, DPOs are involved in every aspect, 4 they are consulted, part of the national monitoring mechanism, that they are involved in the 5 development of accessibility standards and all aspects of implementation of the CRPD. 6 7 So I might just now try to show you, if there is -- does anyone have any other pressing 8 questions? 9 SPEAKER: There is interference coming in from a mobile phone I don't know if anyone has one 10 on them near a microphone, but can you be conscious of that it's disturbing for people and hard 11 for speakers to deal with, we can turn off all the phones or else we can just make sure whoever 12 that person is, we won't point you out, but if you could put your phone off that would be 13 appreciated, thank you. 14 MS LEE: So I wanted to show a few extractors of the webcasts that we've been undertaking of 15 the CRPD committee reviews, so since the review of Peru IDA has been webcasting live the 16 committee review sessions and they have also been archived on websites so people can watch 17 them afterwards. 18 19 So this is the review of Paraguay that just happened in April, this is a question from one of the 20 committee. 21 22 (Video played) 23 "SPEAKER: Thank you very much, I have a few questions, the first one is about Article 4.3 on 24 the involvement of organisations of persons with disabilities, and in that relation I would like to 25 know what kind of concrete initiatives are taken from the State of Paraguay in supporting the 26 involvement of organisations of persons with disabilities and how is it actively carried out in a 27 way that is really involving those groups, and I mean all groups, it's all kind of disabilities, 28 including organisations representing children with disabilities. 29 30 In relation to article 7.3 I would like to know what type of concrete initiatives are taken from the 31 State of Paraguay into securing the right of children with disabilities to express themselves. 32 33 In relation to Article 9 I would like to know what kind of initiatives have been taken to involve 34 organisations of persons with disabilities in drawing up standards on accessibility, standards that Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 are covering all kind of disabilities, including easy read text for persons with intellectual 2 disabilities. 23 3 4 In relation to article 8 I would like to know what kind of concrete initiatives are taken to make 5 sure that the understanding of persons with disabilities among the citizens within Paraguay are 6 respecting the dignity of persons with disabilities. In relation to that I specifically want to know 7 something about how to teach the section of persons with disabilities through the language used 8 to refer to persons with disabilities. Thank you." 9 MS LEE: So I just wanted to show that because it really highlights how the committee is 10 looking at DPO participation, as you can see it was very much about DPO participation, but not 11 just DPOs in general, but looking at specific groups, and ensuring that all groups of persons with 12 disabilities are covered, are participating, are consulted, and as you can see Mr Langvad 13 specifically identified children with disabilities persons with intellectual disabilities because they 14 are often overlooked, they are often not information available in easy to read plain language for 15 persons with intellectual disabilities and children with disabilities which means they are not able 16 to participate on a equal basis with others. 17 18 Of course these concerns were raised directly by Paraguayan DPOs and we'll see that in their 19 concluding observations adopted by the committee on Paraguay they were reflected, so firstly 20 the committee called on the government to harmonise legislation to promote plans and 21 programmes on disability with a focus on human rights, to include transversely people with 22 disabilities in all elements including the national human rights plan. 23 24 Other concluding observations that the committee made with respect to this have been to ensure 25 that human rights model of disability, inclusive definition which embraces the human rights 26 model, including persons with psychosocial disabilities. 27 28 So we can see that they are very much looking at the broad scope of persons with disabilities, to 29 ensure that nobody is excluded. 30 31 On DPO participation with respect to Paraguay, the committee recommended the government to 32 establish a permanent consultation mechanism with organisations of persons with disabilities 33 taking into account the diversity of disabilities represented, including children, women and 34 indigenous population, so knowing that those groups have been often marginalised they made Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 24 the point to explicitly include them. 2 3 With respect to accessibility, the committee made a recommendation for control for the 4 participation of organisations of persons with disabilities and monitoring of compliance of 5 control mechanisms and sanctions regarding accessibility. 6 7 And then regarding awareness raising and training, the committee recommended that the State 8 amend the terminology used to refer to persons with disabilities and to promote campaigns, 9 awareness raising campaigns which strengthen the image of persons with disabilities as holders 10 of all human rights. So just to show you what the practical outcome of DPO reporting and DPO 11 participation in Geneva, what that can look like. 12 13 I just want to talk also about a very important aspect for DPOs as well, the other opportunities 14 available before other treaty bodies. Of course the CRPD exists and it will be the most relevant 15 instrument for DPOs to ensure human rights of persons with disability but other instruments also 16 cover such as international covenant on civil and political rights, Convention against torture, 17 Convention on the Rights of the Child, Convention Onny elimination of discrimination against 18 women etcetera, all those instruments also cover the rights of persons with disabilities. 19 20 Yet those bodies have been very reluctant or have not embraced attention toward persons, the 21 rights of persons with disabilities. And there are many reasons for that. While they have the 22 CRPD itself, the paradigm shift is not fully grasped by other treaty body members. They might 23 not know about disability rights to gyp with and they are not hearing from the DPOs, so if they 24 are not hearing from DPOs about concrete issues on the ground it's very much more difficult for 25 them to make any comment on that. 26 27 So they are hearing from refugee rights groups, hearing from women, hearing from persons in 28 political exile but not hearing from DPOs, which reflects the recommendations. It's very 29 important for them to hear from DPOs so they can include them in their examination. 30 31 It's important for several reasons, because what IDA has been really working for is the 32 mainstreaming of CRPD rights across the UN, across all treaty bodies, it's important that there is 33 substantive coherence across those treaty bodies, for one to up hold the legitimacy of 34 international human rights law, it would make no sense for one treaty body to be saying one Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 25 1 thing on for example inclusive education, and the CRPD committee to say something else, that 2 would put at risk the core of international human rights law. 3 4 And on a very practical level, for States to implement the recommendations that treaty bodies are 5 making, it's very important that those recommendations are consistent with each other. If a State 6 party hears a recommendation from a committee to do it this way and the CRPD committee says 7 do it that way, it's simply an excuse for the State party not to implement that recommendation, so 8 on a very practical level, in order for States to uphold the obligations on the ground. 9 10 So I just wanted to show you two more extractors of videos to see how is that dynamic. 11 12 (Video played) 13 "SPEAKER: Thank you Mr Chair, I have questions on Article 12 this is a very difficult situation 14 I understand, do you have an estimate of the magnitude of the problem... 15 16 On Article 14, I understand that the ombudsman of the country and civil societies domestically 17 and internationally expressed concerns about recently adopted law, mainly the law number 18 29737, which is an amendment to the Mental health Act and which introduced a new way, in 19 addition to the already existing ones, to deprive people with, again outdated terminology, mental 20 disorder including people with addictions, to deprive their right to liberty. 21 22 I would like you to explain what measures your government is planning to change all the 23 particular legislation top ensure all people with disability, including people with intellectual 24 disabilities and people with psychosocial disability cans enjoy the right to liberty on equal basis 25 with others. 26 27 Last question is about those population which exist if every country..." 28 MS LEE: So that was a question from Mr Gambos with respect to Peru. I just want to show you 29 another one. 30 31 This is a member of the committee against torture and this is actually a review on Japan, 32 however it's on the same issue of mental health. 33 34 (Video played) Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 26 1 "SPEAKER: The Act of Mental Health and Welfare for mentally disabled establishes operating 2 parameters for facilities. Article 76 requires countries to judge any restriction of a patient 3 activities, additionally Article 37 allows for physical restraint only as a last resort in cases of 4 suicide or self injury, hyper activity or if the mental disorder is life threatening without restraint. 5 If restraint are used the patient is not notified of the reason and monitored during the use of 6 restraints. 7 8 If patient was compulsively hospitalised, discharge requests are made to the Administrative 9 Appeal Act with the Minister of Health, Labour or a lawsuit is filed under the Administrative 10 Case Litigation Act. Is there a statutory time limit to physically restraining a mental patient, also 11 in the light of the committee's previous concluding observation can you provide information on 12 the steps taken to ensure effective judicial control over the detention procedures in public and 13 private mental health institutions. Also can you provide in details the number of requests made 14 for discharge or improved treatment and the number of granted requests, and also what are the 15 factors for granting a discharge request. 16 17 Also it has been reported that Japan has one of the highest rate of the involuntary patients held in 18 mental health institutions and usually the length of the stay is quite big, can you also provide us 19 with information what is the reason that outpatient services in Japan are not well developed and 20 most of the patients requiring assistance by mental health institutions usually end up being 21 institutionalised and if there are any steps to develop out patient services and to drop down the 22 number of institutionalised persons held in the mental health institutions. Also can you provide 23 us with more detailed information, what is the involvement of the courts when the involuntary 24 placement decision is taken by the facility itself?" 25 MS LEE: Okay so I wanted to stop there and ask some questions to you about that but I think 26 we don't really have time because I still have some stuff to share with you. 27 28 So maybe I will just quickly finish this and we can see. So we can see that there is definitely 29 priorities of focus by the CRPD committee and the committee against torture when it comes to 30 issues, common issues such as mental healthcare of persons with disabilities or deprivation of 31 liberty on the basis of disability, and while these two reviews of course benefited from the input 32 of DPOs so proving DPOs with respect to the question from Mr Gambos and with respect to the 33 question of Mr Tugushi of the cat committee our colleague from Japan was there with user 34 survivors of psychiatry and was able to brief the committee, we had a separate meeting with Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 Mr Tugushi before the review, yet we can see there are different areas of focus and that is 2 reflected in the recommendations. 27 3 4 So looking at the recommendations that the CRPD committee; with respect to Peru the 5 committee calls upon the State party to repeal the law in order to prohibit the deprivation of 6 liberty on the basis of disability, including psychosocial, intellectual or perceived disability, 7 that's very clear. 8 9 It then goes on to urge the State party to investigate allegations of inhuman treatment in 10 psychiatric institutions a ensure persons with disabilities are included in the community and 11 released from these institutions. 12 13 Whereas the concluding observations of the CAT committee are very much focused as we can 14 tell from his questions, they are focused on the control mechanisms, on what are the legal 15 safeguards in place to ensure that there is a review of placement decision, that there is effective 16 appeal mechanism, that the use of restraints in solitary confinement should be avoided or applied 17 as a measure of last resort. Obviously these things are not CRPD compliant and this is what I'm 18 trying to address, the fact that different treaty bodies are developing different standards on the 19 same issues, on issues, which concern persons with disabilities. 20 21 It would be a great pity for the CRPD to be watered down through the development of standards 22 of other treaty bodies while DPOs worked so hard to get this Convention and were participating 23 so heavily in the formulation of the CRPD and the innovation which it represents the paradigm 24 shift which it represents, it's just as important for DPOs to engage with those other treaty bodies, 25 which are also looking at the same issues, or the risk will be that, like this, diverging standards 26 will be developing which conflict with each other. 27 28 So this was a very disappointing result for the Japanese DPOs and for IDA, for the world 29 network of users and survivors of psychiatry and we are currently engaging in advocacy to show 30 the cat committee why we are not satisfied with their recommendations and urging the different 31 committees to engage with each other. 32 33 So I will just finish on final recommendations or tips for DPOs. So to ensure that their inclusive, 34 for DPOs to be inclusive to ensure they are covering the rights of all persons with disabilities and Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 28 1 with respect to all their rights, that they take, they are proactive in reporting to the CRPD 2 committee and working together with other stage holders such as mainstream human rights 3 NGOs, that they cease other opportunities to participate before the other treaty bodies, and it 4 could be a very simple matter, it could be that they have already drafted their parallel report to 5 the CRPD committee and reporting to the committee against torture or committee on the rights 6 of the child would be just a matter of extracting the relevant sections of their larger parallel 7 report and presenting that information to that other committee. 8 9 Or it could be a trigger to the whole parallel reporting process, for countries which have not yet 10 been under review by the CRPD committee and will not be for many years or for countries 11 which have to the ratified the CRPD that they have resource to other human rights mechanisms 12 to receive really strong recommendations, so for example with respect to Brazil, they had not 13 been under review by the CRPD committee and will not be for some years now, but the DPOs 14 were able to come to together to work on a submission about discrimination, again that got them 15 thinking about which issues to raise and focus on in elaboration of their report to the CRPD 16 committee. 17 18 So it's very important to cease those opportunities to mainstream CRPD standards across the 19 board, across the UN and across regional human rights mechanisms as well. 20 21 So there is just the IDA website and my contact details and the website of the treaty body 22 webcast, you can have a look at them, they are in the archives, to really study them and get to 23 know what are the focuses of the CRPD committee, to better be able to work with them and to 24 up hold their interpretation. 25 26 So thank you for your attention. One more thing, I overlooked Steve's question on the 27 conference of State parties I will just quickly answer. Yes, I agree that the conference of State 28 parties is definitely a very good forum for DPOs to engage with committee members, of course 29 they will all not be present, however there will always be a few of them there, and I believe that 30 inviting them to side events, inviting them to have informal meetings, is very important. 31 32 Of course they will perhaps not be in the mode of hearing concrete information specific to your 33 country if your country is not going to be reviewed yet, but to engage with them, to find out their 34 views, their priority concerns as a committee, as individual members, I think that's very Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 29 1 important. So any different means to interact with the committee members, who are all very 2 open, I think that's very important. So thank you for your attention and I don't know if we have 3 time for questions. 4 CHAIR: Thank you Victoria. You made my job easy as a chair, you have managed questions 5 already. I think we are stuck and I am going to be fairly strict we have a busy schedule this 6 morning, if there is one burning question that anybody would like to ask before we break for 7 coffee break, I think Victoria has done an amazing job of navigating through the UN system 8 treaty bodies which is not normally the most interesting to listen to, but I think you have 9 managed to do a very engaging presentation. 10 11 So unless anybody has a really burning question, I'm sure Victoria you are available to have a 12 chat after, we can break for coffee, anybody have anything? No. Okay. We're schedule to come 13 back at 11.15, we might do 11.20 so you get your 15 minute coffee break, is that okay? 14 15 Coffee break 16 17 CHAIR: Okay everybody we'll start with our next session we're a little bit late so we'll hopefully 18 stick to time and finish by lunch time, I'd like to introduce Gauthier De Beco who holds a JD 19 from the university of Lueven, a PhD in law, he is currently a Post-Doctoral research at the 20 Lueven Institute for Human Rights where he researches National Human Rights Institutions and 21 Convention on the rights of people with disabilities. He is also the author of three books as well 22 as many articles in the field of human rights, I think we are really lucky to have him here, I have 23 listened to his presentations many times before he is very enlightening, particularly around the 24 role of Article 33, I'm going to handover to Gauthier, I will say I might be a little strict on time, 25 just warning you in advance. After Gauthier gives his presentation, he will integrate questions 26 into, we'll have a response from two students from the Centre of Disability Law and Policy to his 27 presentation. 28 PROF De BECO: Thank you very much for the introduction, do you hear me. I would like to 29 thank the organisers for inviting me and for their continued interest in Article 33 which I think 30 only my personal opinion, but it's one of the most important aspects of the Convention, and I will 31 tell you why during my presentation. 32 33 So you can use my PowerPoint if you're interested in this article, but as was mentioned I have 34 written about this for different capacities, just did a book on it with several case studies and I Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 30 1 also have done a report on the implementation of Article 33 for the office of the UN high 2 Commissioner for Human Rights, but date in 2011 I'm currently updating and I have provided 3 advice to several States, so I have both research and practice on this issue. 4 5 What I want to say is my main focus is Europe, already very broad for me, so pardon me for my 6 examples mainly come from that region, but I think during the responses we have examples 7 outside of Europe. 8 9 So I framed everything that concerns Article 33 which I call national structures for 10 implementation and monitoring of the Convention, it's a passionate area and important for 11 different reasons, one of the things is that when a State ratifies the Convention, one of the first 12 things it will do is to find a solution, or solutions, to implement Article 33. 13 14 And what it will do at that time, the bodies will designate the mechanism it will create to ensure 15 participation of persons with disabilities will have a huge impact on implementation afterwards. 16 17 Because these mechanisms will facilitate implementation of all the articles of the Convention we 18 have discussed earlier. So it's very important that this is done well and this works, otherwise the 19 implementation of the Convention might be seriously delayed. 20 21 Now just to discuss this article I cannot just focus on its different provisions although I will do 22 so, but I need also from time to time to take a step back and to understand from where it comes, 23 what is the broader context, to which bodies have served as inspiration for the different parts of 24 Article 33, although of course my main focus will remain the content of this article and I will 25 also try to come with different examples. 26 27 The last thing is that I will from time to time between the different parts of Article 33, stop and if 28 you want then you can ask questions. We'll have -- I will come myself with examples, but if you 29 have anything at the end then maybe if you have a comment or example you want to share, do 30 this, we can as well but please give them at the end not during the different question times during 31 the presentation. 32 33 Oh it's not finished, don't worry! It was the wrong button. Just to test your attention! 34 Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 31 1 Okay so what are we talking about now? We are not talking about substantive rights like 2 inclusive education or legal capacity. As you saw already this morning we are talking about all 3 these mechanisms that ensure that the Convention is turned into practice. All this monitoring 4 and implementation mechanisms. 5 6 And as during, in the UN framework, so CRPD is a UN treaty we see that for the last 20 years 7 there has been a lot of attention to the issue of implementation as what was said by a former 8 Secretary General, we need to move from the area of legislation to an area of implementation. 9 And why is this? Because we have seen especially for instance with the Convention on the 10 Rights of the Child, that there have been a lot of treaties with very good goals and good ideas but 11 implementation on the ground is not so good. 12 13 So this is why implementation is important. And as you know, as far as the CRPD is concerned, 14 the question of implementation was in everybody's mind even during the drafting, and we saw 15 earlier some people spoke about implementation Convention, the idea was to better understand 16 how many rights and to specify and tailor them to persons with disabilities. So the aspect of 17 implementation was an important issue. 18 19 And we see this also as far as implementation mechanisms are concerned. We have spoken 20 about the international monitoring mechanisms, now I will speak, we'll go a level closer to the 21 local level, which is national level, and as you see I took this quote, the struggle for human rights 22 will be won or lost at the national level, Jack Donnelly. 23 24 The national level is very important, it's not to say that we need of course international 25 mechanisms, to exercise control on the way in which States fulfil their commitment. But it is at 26 domestic level human rights will be implemented or not implemented. 27 28 So the Convention needs to be domesticated at national level and it's important that organisations 29 of persons with disabilities and all organisations give them appropriate and take this Convention 30 and use it in their daily work. 31 32 So the idea is to close this implementation gap about which I was speaking earlier and this is we 33 have such an elaborated provision for implementation and monitoring of the Convention. 34 Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 32 1 So now let me first, very briefly, present to you Article 33 and then I will speak about different 2 provisions. So I will then also quote the articles, unless you have them now, so if you have them 3 please take Article 33, but as you will see and as we'll see during this presentation, there are 4 three paragraphs in Article 33. 5 6 In the first paragraph it concerns focal points and coordination mechanism, this is the State level, 7 administration, those that are responsible for taking measures for implementing the Convention. 8 9 In the second paragraph we have a paragraph on independent mechanisms or framework, it's a 10 kind of a, working back to this, but it's a new actor between State and non State actors, that has a 11 responsibility to internally monitor what the State is doing to fulfil its commitment regarding the 12 Convention. 13 14 And the third paragraph we have a special emphasis on the role or more precisely the 15 participation and involvement of civil society in the monitoring process. 16 17 So this provision is very remarkable I think we'll discuss a bit more about the drafting in the 18 response, because it is not only comprehensive, there are different aspects covered. We call 19 them national human rights architecture with different bodies, that are necessary to implement 20 the Convention. 21 22 But it's also very clear, one, two, three, three different actors, three different perspectives, three 23 different roles we'll see. However they are also very complicated aspects. Because it sounds 24 beautiful on the PowerPoint, but at the State level, in the field things might be completely 25 different, so you might need to adapt body’s behaviours to make sure that they are as close as 26 possible to what is proposed by Article 33. 27 28 For instance for the participation of persons with disabilities, there can be, it should be integrated 29 into the whole, all these bodies, how you do this can be complicated. The fact is also that often 30 States have already different body that is are responsible for disability rights policies and the 31 question is how do they fit in this structure proposed by Article 33? 32 33 I have really got a problem, as I feared this is not my last version, there is one slide missing. So 34 I will ask you, I have two questions now for you, and I will ask them while we work this out. So Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 33 1 don't worry, you will get -- you will have to answer my questions, but you will not see them 2 immediately. 3 4 So why do we need national structures for the implementation and monitoring of the 5 Convention? Why are they so important? I have already highlighted a few issues. That's my 6 first question. 7 8 And my second question, what do you think are the most important aspects of this structure, if 9 people tell you we need structures to implement the Convention what are the first things about 10 which you will think? Anybody? 11 SPEAKER: I hope it's okay that I can answer your first question. You initially stated that 12 anything relating to the Convention can be won or lost at national level, it's very important that 13 at the national level there is very strong structures that ensure that the CRPD is respected and 14 implemented at the greatest level. 15 16 So I think it's important then that at national level, because it usually is the very strongest 17 starting point for implementation of the CRPD. 18 PROF De BECO: If I can add to this in simple words, it's important that the Convention does 19 not become an empty declaration, in truth. It should do something with it and not just have it for 20 appearance. 21 SPEAKER: I think maybe it would also help to have home grown solutions to implementing the 22 CRPD, especially because we have different contexts in which this Convention already play out. 23 PROF De BECO: That's why for instance participation is so important in this mechanism, it 24 should come really from the ground and the different goal of the Convention should be not only 25 translated into the national politics but also confronted with national problems and national 26 concerns. 27 SPEAKER: And implementation needs different bodies and players to carry on the obligation 28 and to organise and decide who is suppose to do what and how to do it needs also to have some 29 legal framework inside the country. 30 PROF De BECO: If you want to climb am mountain very high you need a very good team and 31 be organised, that's why this is important. You need to have a good coordination. 32 SPEAKER: I think there is a fundamental question we need to look at here, specifically the 33 nature of the legal system of each country, in terms of incorporation of international human 34 rights treaties and standards where the international law. And here I think we need to look at Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 34 1 whether the system is -- I think this is a really serious problem in some countries because if you 2 incorporate directly the CRPD you need to implement it, make it applicable, and this actually 3 might cause some problems with regard to law enforcement officials, because they are not really 4 trained in these areas. 5 6 And if you want to adopt the other system, to harmonise this might cause conflict because the 7 process of harmonisation between international conventions and national laws is very technical. 8 So it is really problematic and I think this is the question we need to answer with regard to 9 international law. 10 PROF De BECO: A very important aspect I will not discuss this further so it's very good that 11 you highlight it, because then also Article 4.1 about implementation and adoption of legislation 12 and it's important that those, especially the focal point responsible for this are aware of these 13 aspects and the harmonisation process takes place as soon as possible. 14 SPEAKER: Regarding your second question I would highlight three aspects. The first being 15 independence, the second being sufficient funding and the third being having sufficient 16 investigation rights, so to establish duties to State authorities to provide information to these 17 structures when asked. 18 PROF De BECO: Yes thank you very much that concerns rather us all, especially the second 19 part, national bodies and we'll speak about resources, the resource question is something very 20 sensitive for the implementation of treaties, where do you have to put priorities and how you 21 need to use it in the best way possible to progressively realise the Convention. 22 23 But one thing is certain, if you want people to deal with the Convention, to monitor it, you 24 cannot do it, you need resources to do this, but it can have a multiplier effect of course on the 25 Convention, but without resources it is impossible as far as Article 33 is concerned. 26 SPEAKER: For the second question it probably goes without saying but I would also say 27 inclusion of persons with disabilities themselves is paramount. 28 PROF De BECO: That's the most important. We'll stop here and I will continue. That's the 29 most important aspect and I will really try to do now my whole presentation to really show that, 30 that's one of the major aspects, Article 33.3 which concerns in particular the participation of 31 persons with disabilities should not be seen in isolation, it's something which under lies the 32 whole national structures for implementation and monitoring of the Convention. 33 34 But we have already, I see you are very aware, but I will tell you which will make you happy as I Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 35 am sure we have much more interesting questions since you know a bit where I'm heading to. 2 3 Let me now go to the different parts of Article 33, so I will discuss them one by one, leaving 4 time for some questions and then I will come with two examples. I choose these two examples 5 of two countries, you see the whole architecture of two countries not just separate bodies from 6 one or another country. 7 8 Okay now let's start in the more technical aspect of Article 33 the first says that State parties, in 9 accordance with their system of organisation, shall designate one or more focal points within 10 government for matters relating to the implementation of the present Convention. 11 12 So as you see, you see the word "shall" so people have to designate such a mechanism to fulfil 13 their obligations. This is new as far as international human rights law is concerned we don't find 14 it in other treaties, but for the rights of persons with disabilities you are able to find something 15 similar in the UN standards codes, so there was already a precedent as far as persons with 16 disabilities are concerned. 17 18 And you see it's one or more focal points so there is some flexibility. You can appoint several 19 Ministries and that's even a good idea, to ensure that they all be involved in implementation of 20 the Convention, but you need a head focal point, that they have a major responsibility for the 21 implementation of the Convention. 22 23 To do what? Next question, we discussed in detail today the State reporting, so when these focal 24 point appointed one of the first things that they will have to do and will be the first exercise, a 25 kind of internal assessment, most of them just take it as an exercise before the UNCRPD 26 committee that is also to, for the first time coordinate and have an overview on what has, what is 27 missing as far as the implementation of the convention is concerned. 28 29 So the first thing is the State reporting that they will do. Of course it should not stop there, in 30 practice we see often after the designation of the focal point the State report is sent to the 31 UNCRPD committee and then people just wait and are busy with other activities. 32 33 What should they do other than State reporting to the committee? Take measures to implement 34 the Convention, to define which steps, which legislation has to be change to make sure that it is Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 36 1 in compliance with the requirements of the Convention. To develop and implement disability 2 rights policies in the light again of the Convention. There we have it as well, ensure the 3 participation of civil society and we all heard about Article 4.3 which requires persons with 4 disability are involved in the interpretation. And I'll speak about that again. It's important that 5 one way or another they are consulted, involved in all issues taken to implement the Convention. 6 We'll see this can for instance happen, take place to advisory bodies where representatives of 7 DPOs are sitting and can give their opinion on initiatives taken by the government regarding 8 legal capacity, inclusive education or other rights provided for in the Convention. 9 10 We'll see although that as far as the advisory bodies are concerned I will come back to it, 11 sometimes difficult to know where exactly they belong in this particle 33 architecture, but as you 12 see here one way is to create them or have body that is can in particular advise focal points. 13 14 The last point the focal point should be a contact point, not only national but also international 15 level. At the national level it's important that any department at whatever, it can be also at the 16 very local level, local government, can ask for information or help regarding the Convention. So 17 within the administration it's important to have one phone number or one department to whom 18 people can go and ask questions. And the same for DPOs, that disability organisations know to 19 whom they can address their concerns if they have a question or they want to share something, 20 that they don't have to look at who is responsible for that matter, that's something which the focal 21 point should look for them and it should be able to answer to their questions. Also for the people 22 in general, that's why it's good to announce, although it's no obligation to provide by law who 23 will be the focal point, to announce that that department or these people, so the people know who 24 is busy with the Convention and who is taking care of it's implementation on a daily basis. 25 26 But that's also at international level. It would be impossible if the committee has to address 27 recommendations and deal with a complaint, because as you know the committee, if States have 28 ratified the option all protocol to the Convention on rights of persons with disabilities, 29 individuals can file a complaint to the committee and tell the committee well go to the State and 30 ask questions and share this communication and ask explanation, so it's important that there is 31 one person that the committee knows to whom it should address this communication. 32 33 The same holds for all organisations, if they need information for a report or if there is a 34 complaint, there are different mechanisms at regional and international level. There is one Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 37 person or one unit that these organisations can call to be sure that they have the right answer. 2 3 Article 33 paragraph 1 also provides that State parties shall give due consideration to the 4 establishment or designation of a coordination mechanism within government to facilitate related 5 action in different sectors and at different levels. 6 7 As you see "shall give due consideration", so it's not an obligation this time to create such a 8 coordination mechanism. Okay I'll give consideration to it, we don't need it -- no, you need to 9 consider it and if you don't want such a coordination mechanism, which is possible, you have to 10 show that it is not necessary to have such a mechanism. 11 12 I went for instance to a country, Malta, they asked me could I advise on that aspect and I saw 13 that all the Ministries were sitting in the same building and working in common documents and 14 policies on a daily basis, it was not necessary to add another body or another mechanism because 15 it would just create structures which aren't necessary. But for many other countries and 16 especially federal states as I will explain later there such a coordination mechanism might be 17 required. Especially since it has to know what's to facilitate coordination with the regional 18 levels. 19 20 There is no obligation and there is vertical and horizontal co-operation, by which I mean vertical 21 between Ministers, so to be sure Ministries do not take isolated measures, so the coordination 22 mechanism can ensure a Minister of Justice is involved in the capacity issues, the Minister of 23 communication is also involved and so on or housing etcetera. Also the horizontal level -- the 24 vertical level in federal states as you know and we saw, sometimes the regions have important 25 competencies and often they will not have power regarding this in regional level and it's 26 important to appoint a mechanism to ensure they avoid gaps in implementation. 27 28 So the idea of this coordination mechanism is to have a platform to facilitate decision-making, 29 and also again to ensure the participation of persons with disabilities in particular, because since 30 this coordination mechanism has broad networks it can also ensure persons with disabilities are 31 consulted when the decision-making processes are going on. 32 33 Now I will give you a bit of practice, so how this is taking place in reality, but first, what I see at 34 least in Europe is that in most countries it is Ministries of social affairs or similar kind of Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 38 1 Ministries that have been appointed focal points. Is this bad or good? Very difficult to say. 2 Most of the time these kind of Ministries have been busy with disability issues before the 3 ratification of the Convention and the fact that they are now focal point means that they will 4 have to focus on the CRPD and carry out disability policies that comply with the CRPD so they 5 will often be changing their approach, take a distance from the medical model and come closer 6 to human rights model. 7 8 This can be complicated, so it's a pity, there are very few that did it, but it's a pity no Ministries 9 of justice have been more involved or designated as focal point. Often the reason is these 10 Ministries have been very involved in the negotiation of the Convention and are already taking 11 care of visibility issues so that was a simple way to do it. 12 13 As far as the coordination mechanisms are concerned, often they are also the States -- the focal 14 point, again this can be no problem if you can demonstrate that the focal point is also capable of 15 ensuring coordination with other Ministries, but having is a distinct coordination mechanism can 16 be beneficial to distinguish points of focal point and coordination mechanism on the other hand. 17 That's more creating a platform where information can be shared and facilitating 18 decision-making in collaboration with organisations of persons with disabilities. 19 20 Last point and very interesting thing that we can see in practice is the creation of sub focal 21 points, as was discussed earlier, several States including mine, Belgium, have regions that have 22 important competencies regarding persons with disability, such as education and I see more and 23 more in federal states, a big part of the issues that relate to the Convention found competencies 24 of these regions because it concerns the group of persons in education and employment, it's often 25 dealt with by this regional level. 26 27 So several States have then appointed sub focal points and I think this is very interesting because 28 this avoids an implementation gap, human rights and disability rights are often -- people think 29 it's mostly the concern of the federal level because human rights are referred to international 30 human rights conventions and forget that actually the most local level is often also, if not more 31 concerned about implementation of this Convention. 32 33 So the importance of the whole Article 33 is to have a global approach and see where the gap 34 lies and where the most, who is -- where you can choose the people and the departments that can Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 39 1 have the greatest impact on the implementation of the Convention, either in centralised States, or 2 in federal states taking into account the competences of the regions. 3 4 I'm finished with Article 33.1, what I propose to do is to go on with Article 33.2 and then 3 and 5 before my examples then I will leave some time for questions. So if you have questions about 6 this please wait I will just go through the whole article and then I will stop before coming to my 7 examples. 8 9 So now we have the most important part of Article 33 it's the independent mechanism. And 10 Article 33.2 reads: State parties shall designate or establish a framework, including one or more 11 independent mechanisms, as appropriate, to promote, protect and monitor implementation of the 12 present Convention. When designating or establishing such a mechanism, State parties shall 13 take into account the principles relating to -- in short the Paris Principles. 14 15 So I think if you read this provision everything is in there, it will explain what it involves, but 16 every word counts, it's very well drafted because every aspect is important and I will explain the 17 possibilities, then what are the functions of promotion, protection and monitoring and then I will 18 briefly explain what the Paris Principles are. 19 20 So as with Article 33.1 there is some flexibility as far as independent mechanisms are concerned, 21 but this goes even further because States can designate or establish mechanisms, so they can 22 choose. They can either say we'll designate you, this body to do a job or we see that nobody can 23 do it and we'll create another one. So the idea is to see what exists and in relation to that either 24 designate or create a new mechanism. 25 26 Designation does not mean as often happen in practice okay you are a nice ombudsman, now 27 you will do this. Now you will have to adapt either the structure, provide additional funding, 28 you cannot just designate without taking any measures to be sure it is compliant with Article 29 33.2, you can do sometimes but most cases you will have to adapt slightly to be sure that it 30 complies with the provisions of Article 33.2. 31 32 Second aspect, you can have one or more independent mechanisms, that's very interesting as 33 well. Either you can, because as I said in the beginning, the institutional landscape is varied 34 from one State to the other so you might discover the different functions of this independent Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 40 1 mechanism are for the moment shared or taken care of by different bodies so you can appoint 2 these different bodies to be sure you covered the whole mandate of the independent mechanism. 3 4 This is the newest element here, the most original element in this convention, it's a kind of what, 5 it's a summarise, a bit like a watchdog looking in your own garden to look what you are doing 6 that's a bit what this kind of body is, you create an internal monitoring body that will tell you 7 when you have crossed a red line. 8 9 And it's not the first time we find this in a treaty, this is described by a similar experience which 10 has differences, which is the optional protocol to the Convention against torture, why we have 11 national mechanisms that can visit places of detention, but I think in response we'll hear more 12 about this, so this is not the first time we have such bodies, but here they have a quite broad 13 mandate, because they have to cover all the Convention and there are also different functions 14 which I will discuss now. 15 16 So what should they do? As you see on my PowerPoint, there is a lot that they should do. So 17 the functions are very broad. The first promotion, you saw in Article 33 that there is promote, 18 protect and monitor. So promotion, it is a lot of things, raising awareness by disseminating 19 materials, training, education within the formal, the school sector or university, but also outside 20 it have for people, all people that are in contact with persons with disabilities or whose action 21 affects the implementation of their rights. Research, promoting understanding of the CRPD, put 22 in a national context, disseminating that. So it should be, it's very broad and very important, 23 because as you know the first thing to be sure that's necessary to implement the Convention is to 24 combat stereotypes and to share the values of the Convention. But it should be said that 25 promotion is not only the task of independent mechanism. 26 27 As you know in Article 8, States have also the obligation to promote the Convention and often 28 DPOs also promote the Convention so it's a kind of shared responsibility. So this independent 29 mechanism I can see where it can fit in this story to have all the obligation, by focusing the 30 Convention, simply raising new issues or, also use the media that's important, how to use the 31 media to promote the Convention, to combat stereotypes and help you change the image the 32 public has on persons with disabilities. 33 34 Second function is protection. What is protection? It's taking action to, when a person the rights Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 41 1 of a person with disabilities are infringed or breached, this can take place throughout different 2 kind of actions, most known of it is complaints handling, so this mechanism will receive a 3 complaint about a child that has been refused reasonable accommodation in normal school, or 4 there can be complaints about accessibility. Then it will mediate. And to do this it should have 5 certain powers, quasi-judicial powers; it should be able to get information to call people that are 6 responsible for the institution. 7 8 But protection is also broader, it includes Amicus Curiae providing information during a legal 9 process, so going to the judge and explaining the convention to that judge which is very 10 important, because we see that often the judiciary does not know much about the Convention 11 and there is still the medical approach in mind. This can happen at national and international 12 level, national level is working for the judges but it also happened in Europe before the European 13 Court of Human Rights where there was a case concerning persons with disabilities to provide 14 information to the judges that in the situation can take a right decision and be informed. 15 16 But also assistance, legal assistance, strategic assistance for people who want to claim their 17 rights before courts. And also if possible representation for the victim if that is necessary. 18 19 Then the third function, monitoring, that's the broadest one and most innovative one. This 20 concerns to make sure that the Convention is implemented, to follow up the implementation of 21 the Convention through the evaluation of policies and legislation and compatibility with the 22 Convention, to provide opinions on sensitive issues, very important to promote the collection of 23 data, not to collect data themselves but to make sure it is co-ordinated and that it takes place and 24 possibly having indicators which can determine whether progress is made with the data that has 25 been collected. 26 27 Inquiries, especially on issues that are not seen at the surface, like in institutions and then follow 28 up, follow up normally of the commitment of the State, but for instance also of the concluding 29 observations of the committee on the rights of persons with disabilities. 30 31 So this is very broad and just to tell you, it can create problems because it's too large and not 32 possible to do in one or two years, so there will often, priority also often have to be made and at 33 the same time there should be a strategic but also some flexibility to cease opportunities when 34 new law is passed or when a new issue is raised in the media. But inevitably judgments will be Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 42 1 made and as we'll see now that's why it's independent and can be making choices without any 2 political interference. 3 4 Just a little discussion to continue what we discussed this morning this independent mechanism 5 can also have a role for State reporting process, at different stages most of them write what we 6 call parallel reports, we heard about the shadow reports from DPOs but they often can write a 7 commentary report which is an answer from their perspective to the State report. It's a bit 8 between the two, not a shadow report, it's not a State report, it's very complicated, it's a new type 9 of report, the problem it multiplies reports before the committee but most do so and I think it's 10 useful because it provides additional information to the State reports which can help the 11 committee in reaching observations. 12 13 But even more important than that as we see for instance in Germany, they can be involved in 14 the follow up of concluding observations of the committee and as we see often States receive the 15 concluding observations, they put them somewhere in a room or put them aside and four years 16 later they come with another report saying they had no time or whatever. So it's important that 17 States are not let off the hook and somebody is an extension of the committee at a national level 18 and there they have an important responsibility to make sure to urge the State to take steps 19 within a reasonable time period, implement the recommendations and also to create discussion 20 about them, raise awareness, so that the work done by DPOs and the committee is not done for 21 nothing. And we have now this kind of practices evolving and I think, I hope that with the 22 concluding observations of the committee they will see the existing independent mechanisms 23 will seize this opportunity. 24 25 So now we go to maybe the most important aspect of this independent mechanism, which are the 26 Paris Principles, as we saw in the Article 33.2 states have to take into account the Paris 27 Principles when establishing or designating such mechanisms. 28 29 What are these Paris Principles? These principles were drafted by what we call National Human 30 Rights Institutions and these are if I may say, independent mechanisms or like independent 31 mechanisms in Article 33.2 but that should promote and protect all human rights. 32 33 They exist already for a few decades and especially in the 90s and the years 2000 that a lot of 34 States have created these kinds of institutions. In 1991 they have adopted guidelines that explain Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 43 1 what they should do and what are the criteria to qualify as National Human Rights Institution 2 and as we'll see these guidelines, Paris Principles provide amongst others that they should be 3 independent and pluralistic. 4 5 So we have this paper, these Paris Principles which you can find on any website, for instance on 6 the site of the office of the UN High Commissioner for Human Rights. And it's important to 7 know that not only, they were not adopted but endorsed by the General Assembly and from the 8 Commission of Human Rights, but there is also an accreditation process by the National Human 9 Rights Institutions themselves, which gives an A, B or C status according to the full, partial or 10 non-compliance of these institutions with the Paris Principles. So it's like with the milk there is 11 kind or buying milk it's a label. A label given by the NHRIs themselves 12 13 What do these Paris Principles say? 14 SPEAKER: Can you clarify this? 15 PROF De BECO: Clarify, the problem is if I want to talk about National Human Rights 16 Institutions I can't speak all day, but I have a lot of documentation on it which I can send to you. 17 18 So accreditation means giving to those bodies that contend to be National Human Rights 19 Institutions a status, so the status can be A, B or C. A means full compliance. B, partial 20 compliance. And C, non-compliance. 21 22 So who gives that to these bodies? Well the NHRIs themselves, they formed what is called an 23 International Coordination Committee of National Human Rights Institutions, which has a 24 subcommittee on documentation and NHRIs send documentation to this subcommittee which 25 afterwards give them this A, B or C status. 26 27 In Europe we have now in the world I think 62 institutions that have such an A status. Is that 28 okay? 29 SPEAKER: Yeah but is it mandatory for every country's NHRI to apply for accreditation? 30 PROF De BECO: That's a good question, it's not an obligation to have a National Human Rights 31 Institution but since the 90s we see many international organisations, treaty bodies strongly 32 recommend States to have such institutions and now that we have this Paris Principles in the 33 CRPD the status of the National Human Rights Institutions, the legal status is even stronger. So 34 I can say neither yes or no, but almost yes. Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 44 1 2 Thank you for your question. So independence creation, what is independence? The criteria to 3 be created by law, why? Because when you are making the law you cannot change it overnight 4 if you are not happy. No governmental involvement, you need to be able to choose the 5 priorities, staff members and strategy by your own. And very important funding. Without 6 funding this cannot work, or if you have to find funding elsewhere you will depend on the one 7 giving you the money. 8 9 Pluralism, what is pluralism once again as we said participation of the persons concerned, in 10 particular civil society organisations, including NGOs, but also other organisations like 11 professional organisations and academics and experts. Very importantly if governmental 12 departments have their representatives somewhere in these organisations they shall have no 13 voting rights, they cannot say we want this recommendation, it cannot have an impact on the 14 outcome or opinions produced by these National Human Rights Institutions. 15 16 I will not go further into this, what I want to say is we have to read these Paris Principles in the 17 light of the Convention of course. So for instance civil society should be read as organisations 18 that are protecting the rights of persons with disabilities, like DPOs. So you have to read this in 19 the light of the mandate that this independent mechanism should have, which is promote, protect 20 and monitor the implementation of the Convention. 21 22 I will not go in depth about this but there is a lot of discussion if these Paris principles are 23 enough, because it's not enough to be independent on paper but what the effectiveness and 24 accountable, there are different projects going on on these questions I can tell you about it but I 25 will not go into depth now. 26 27 What I want to do however is say what kind of, how it happens in practice. In practice we see 28 there are very different solutions, and one, the most known is of course the NHR. Yes so 29 national institutions have often been given the mandate and the reason is very simple, that since 30 the Paris Principles are mentioned in Article 33.2 they are what I would call the best pedigree for 31 being independent mechanisms. 32 33 But sometimes it's also equality bodies like in my country or in France, and it's interesting 34 because it's a non-discrimination Convention so they have also good experience. Ombudsmen Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 45 1 have a lot of experience in hand he willing complaints, like for instance in Poland. Sometimes 2 advisory boards and as I said advisory boards that creates a problem in Article 33 structures 3 because States have given them the role of independent mechanisms but they can not play fully 4 this role, they may provide advice to the State but they do not protect and monitor the 5 Convention, so we see that the mandate is not fully covered if this, there is also another problem, 6 often governmental representatives are sitting on these advisory boards, with voting rights, so it's 7 more a platform to provide input for policy making than monitoring. 8 9 You have also other bodies we'll see when we speak about Austria for instance; some countries 10 started from scratch and created new bodies, which just fulfil the role of independent 11 mechanism. 12 13 So that sounds very nice and easy but it's complicated in practice for two reasons, those bodies 14 have different functions and I recently discovered that in Poland the Polish human rights 15 defender has the function of National Human Rights Institution, equality body and ombudsman, 16 so some people fall under different categories. And the other thing is that you can create more 17 than one independent mechanism so some people appoint different bodies, so in the end you 18 have no model, every country has its own solution depending on what bodies it has before 19 ratifying the Convention. 20 21 Last but not least, civil society. In particular persons with disabilities and their representative 22 organisations shall be involved and participate fully in the monitoring process. 23 24 I don't need to remember you that one of the main, key issues in the Convention is nothing about 25 us without us. And that started during the negotiation of the Convention, has found its way in 26 the Convention, amongst others in Article 33.3 and will continue during the implementation. So 27 it's important that civil society is involved in the implementation process. 28 29 And what's very interesting about this provision, it works like a hammer. It's not to be seen in 30 isolation but it's a hammer on every other provision in the Convention and any other part of 31 Article 33, so it should be seen in combination and should strengthen the participation aspect of 32 the different provisions of Article 33. So I will explain what this means here. 33 34 If you read Article 4.2 which provides for the participation of persons with disabilities in Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 46 1 implementation of the convention, and you combine it with Article 33.3 it provides for the 2 participates of persons with disabilities through the focal point and coordination mechanisms. 3 4 As I said the advisory bodies fit better under Article 33.1 are a very good practice here to ensure 5 that they can participate in the monitoring and implementation of the Convention. 6 7 As far as independent mechanisms are concerned there you have a combination between Paris 8 Principles which were advise for pluralism and Article 33 which stresses the participation in 9 monitoring function, so the Paris principles are broader yes in that it has, it sees civil society as a 10 broad category but here you have expressed on DPOs and there are different ways to involve 11 them, you can haves disabled people organisation represented on the boards or to appoint people 12 in this mechanism to have persons with disabilities themselves involved and running these 13 independent mechanisms or you have close co-operation with these organisations by having 14 platforms, steering committees to which these independent mechanisms turn before making 15 recommendations. 16 17 Very important the last point, that persons with disabilities should also have a capacity to 18 monitor outside any of these structures, because it might be that they do not work or the outcome 19 does not live up to their expectations and then it's important that they can also choose another 20 way to make their claims. 21 22 So as you see there is a lot of overlap, as far as Article 33 is concerned, but what is the most 23 important is that there are different channels throughout persons with disabilities can make a 24 claim and they can see where they can have the strongest impact. It might be that independent 25 mechanism is not working or the focal point is closing the doors, so seeing where it can have an 26 input and also follow up any decision-making process until a decision is made. 27 28 Another important aspect here that concerns the whole Article 33 is to ensure that there is 29 coordination between these bodies because of course in the advisory bodies there will be 30 organisations of opinions with disabilities and it's important that people know who is saying 31 what, not only to avoid contradictions but also surprises or mistakes, so an important 32 coordination in this whole framework, especially as far as DPOs are concerned is important to 33 have strategy and say to the body that you have the information at the right time. 34 Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 47 1 So I have now two examples, but I propose now I will leave five minutes for questions, if 2 possible questions about the content of Article 33 and then I will discuss two examples to show 3 you the variety of possibilities States have to create these national structures for the 4 implementation and monitoring of the Convention. 5 6 So are there any questions? 7 SPEAKER: Regarding paragraph 2 how would you describe the relation between the 8 independent mechanism and the framework that needs to be established? Would you have 9 examples on how these frameworks work? 10 SPEAKER: My question is about the funding from which governmental institution is more 11 better to be funded and what it shows for funding more monitoring processes. And also one 12 specific question, especially from my country, from Georgia about it's what measures can be 13 taken when service providers use the Convention and especially Article 33 for their own 14 interests, creating such bodies, to make programmes flexible on their sides. So in that case there 15 is gaps between citizens and NGOs, the NGO sector and government and so the disabled people 16 are losing the equality for services, the service providers are using Article 33 for their interests 17 the same. Thank you. 18 PROF De BECO: Sorry is this a question or just a comment? The question is about service 19 providers? 20 SPEAKER: What measures can be taken in the case where there are arguments about no 21 competence to participate in the monitoring process, from service providers? 22 PROF De BECO: One last question. 23 SPEAKER: My question is how effective the national focal point should be because in India for 24 example we have a Ministry of social justice and empowerment which has only a small capsule 25 which is nope as department of disability affairs, so can we say that this fulfils the mandate of 26 Article 33? So how the focal point must be effective, what is the degree of effectiveness? 27 28 And number two, to what extent the national focal point must be represented by persons with 29 disability? Can we say that the focal point issue would be addressed effectively if we have a 30 distinct Ministry addressing the issue, instead of having a small department in the Ministry? 31 PROF De BECO: Okay thank you very much for the questions I will reply briefly because time 32 is almost over. 33 34 So framework and independent mechanisms, it's a tricky question and thank you for reminding Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 48 me because it's not in my presentation. 2 3 I think we are still, that's my conclusion, we are still on the way to give a meaning to many of the 4 terms of Article 33.3 and the only way to give a meaning is to see how it happens in practice and 5 make an evaluation. So far what I think, there are other versions and I am sure they are 6 defendable, is that the idea of the framework is either to have different mechanisms or have one 7 mechanism adapted and then that is a framework because it cooperates like yours in Germany 8 with DPOs and set in form of framework. 9 10 But in the basic idea is however that you can have different elements, and then an essential 11 question for me is should all these elements be independent mechanisms. And the Spanish 12 version it is the case, there is a controversy and I think they should be all independent because 13 you cannot monitor if you are not independent. 14 15 As far as the question, it's important, I try and in my work with the office of the UN high 16 commission for human rights I try to give a meaning so you can find information about it in that 17 report. 18 19 Funding, of course that's as I said earlier, if you want to promote a convention, if you want the 20 right advice on implementation, if you want to do events, it's not possible to say, to ask 21 somebody to do this without giving the resources to do it. This is not possible. So funding for 22 monitoring, it is time consuming monitoring, if you want to review legislation, if you want to 23 participate, so there should be a minimum of resources to be able to, maybe not too much in the 24 beginning but there should be a minimum of resources and this is even provided. 25 26 Service providers thank you very much for this question, very sensitive again, I don't have the 27 truth but if I read the Paris principle they say professional organisations should be involved. So 28 in a way although they are concerned, they are concerned with -- they can be part of the 29 implementation of the Convention, they should be involved, I think the most important is that the 30 major actor as far as monitoring body is disabled people organisations. Others can be there but 31 they shall not be excluded especially independent mechanism because their role is provided in 32 the Paris Principles. 33 34 As far as effectiveness is concerned I fully agree, thank you for raising this question, a focal Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 49 1 point, what is effective? It's not always a matter of number of people. It's often a matter of right 2 choices, choosing the right people, putting the priorities, being able to listen to organisations. 3 And having a single Ministry or department, I don't think it really matters, the idea is that there is 4 a focal point and it mainstreams disability rights, if it's a single Ministry or a unit, I don't think 5 that's the most important aspect. 6 7 So I think I have very little time for my examples and I will not do them, I will just show you the 8 slides and say two things. Here you will have them at your disposal I have Denmark and in 9 Denmark we have three independent mechanisms and there you see she share different functions 10 there is even a council here in the independent mechanism which stresses the aspect of the 11 independent mechanism in the framework, there you have the Article 33 hammer that is included 12 in the mechanism, it's a good practice and also the ombudsman which reinforces the protection 13 mandate and we have also a special coordination mechanism. 14 15 Next Austria I can talk to you, very interesting as well, because you have this here an advisory 16 board which helps and also a sub focal point and they have creating a new monitoring body 17 which exactly follows the Paris Principles the only problem being it has very little resources with 18 a broad mandate. And also sub independent mechanisms. 19 20 My last slide the most complete monitoring system ever in an international human rights treaty. 21 So at the same time it's very clear, but very complicated that I don't have the answer to every 22 question, it's important that the provisions aren't read in isolation. 23 24 And that it serves to accelerate implementation of the Convention. I would say that in answer to 25 the question of the gentleman from India one thing is, you need structures to climb the 26 mountains, to have a good team, and that's the purpose of Article 33, but you also need good will 27 and effectiveness. So what is on paper is not always good practice. Collaboration and 28 effectiveness are all important to make sure it works. 29 30 The last thing is you never reach full compliance with Article 33, what is very important is to 31 have a continuous evaluation process of what you are doing and I hope the committee in future 32 will help States to improve that independent mechanism. 33 34 And as I said Article 33 only gets there with practice, with re evaluation and adaptation, it's a Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 50 1 beautiful provision, it's not static, there is no full answer, it's a dynamic provision for which to 2 understand you need to look at practice and see how you can make improvement s within the 3 bodies and the Paris Principles for persons with disabilities. Thank you. 4 CHAIR: I'd like to thank you, you have been very passionate and again having gauged the 5 article that is in depth and present it had in a really good way and thank you very much for that, 6 you obviously very much like your subject! 7 8 I think in terms of the last 30 minutes we have two PhD students going to give a response, so 9 first is Meredith Raley, she received a BA in political science from Charleston and JD in 2010, 10 she is currently a PhD student here at the centre and her PhD is focusing on Article 33. I know 11 Meredith has a timer in front of her so she won't go over her time. 12 MS RALEY: Like Mary said I'm doing a PhD here on Article 33 and I'm particularly interested 13 in why Article 33 has taken the form it did. So I'm going to try and give you some background 14 information on what this, what the situation was with the UN at the time and what kind of trends 15 led to the creation of Article 33 in particular. 16 17 So Gauthier talked about how starting in the 90s when the Paris Principles were drafted National 18 Human Rights Institutions began to increase in number hugely and at the same time as UN 19 adopted the Paris Principles the UN recognises National Human Rights Institutions were a kind 20 of body separate both from State governments and from NGOs, and this benefited the national 21 rights institutions because they gaped a special status at the UN in early 2,000s which meant by 22 the time CRPD was being drafted they were used as such a separate and unique body they were 23 able to negotiate separately from State parties and separate from NGOs which gave them more 24 power than normally would have and had in previous draftings, which is why they were able to 25 gain a special place for themselves in Article 33.2 with its implicit mention of the Paris 26 Principles. 27 28 The other big trend that led to the Article 33 was as was mentioned the national preventative 29 mechanism in the optional protocol in the Convention against torture, it was the first time Paris 30 Principles were mentioned although interestingly State weren't required to follow the Paris 31 Principles they were asked to keep them in mind, so it was a lesser standard than you found in 32 Article 33.2, it was also the first treaty to require a necessary particular monitoring body, this 33 body is laid out in far more detail than the body in Article 33.2 it's given several articles it runs 34 from -- it's exact duties are laid out, the exact extent of the power is laid out. Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 51 1 2 There was some talk of doing something similar in draft of the CRPD but the reason it could be 3 laid out in so much more detail was it was an optional protocol which mean it is had far less 4 reach than the CRPD. Optional protocols were ratified by 63 States, of those 44 would go on to 5 set up a national mechanism, so you can see compare to CRPD while it was far more detailed 6 body and so in some ways a more powerful body, so also simply far less reach than the CRPD 7 would have. 8 9 10 So it still held precedent that the NGOs and national rights institutions were able to use to push for a monitoring body within the CRPD. 11 12 During the drafting the drafting also, the other trend to be aware of is the drafting took place at 13 an interesting time for the UN. The UN had starting in 1990s been undergoing a process of 14 reform, there was at the drafting a clear awareness that passed human rights treaties had not been 15 complied with as widely as they should have been and mechanisms that were used to monitor 16 and implement conventions were clearly inadequate. So there was at the time of the drafting of 17 the CRPD a clear openness to change and innovation that hadn't been present at other 18 conventions which allowed again many NGOs the national rights institutions and a few States to 19 really push for a change that led to Article 33.2. 20 21 The national mechanism was in place from the very first draft. The three parts the focal point; 22 pinned mechanism and monitoring mechanism were already in place. However monitoring 23 mechanism was not formed, and there was not any mention of civil society being involved in the 24 process. 25 26 As the drafting went on the EU, which negotiated as a single body rather than several different 27 States, Japan and Israel from some of the most involved in the new body. The focal point and 28 coordination mechanism as they are currently in the final draft became set early in process, the 29 sticking point for most States was how powerful the monitoring mechanism could be and how 30 powerful civil society could be. 31 32 So in the first draft there was no mention of the Paris minutes and a much weaker provision for 33 civil society involvement. 34 Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 52 1 As the process went on the NGOs and national rights institutions continued to push for much 2 more expansive society involvement and monitoring it, in answer States pushed back arguing too 3 much prescription would be burden some on them, impossible to meet and was unnecessary, so 4 it kind of came down to a battle between the two forces. So when you look at the final product, 5 what you mainly see is body that the States would accept, focal points were common by that 6 point, coordination mechanism made sense and was optional in any case, the monitoring 7 mechanism which it's implicit mention of the Paris Principles was the most independent that 8 most States were comfortable and civil society was continuously -- Article 33s expansiveness 9 was as a result of continuous pushing by NGOs. 10 11 So you can see it's the result of several unique forces that came together at the time of the 12 drafting of the CRPD and all those forces pushed for what is a very unique bridge between 13 necessary particular and international law and what is the strongest bridge they could create 14 given the political climate at the time. Thank you. I have a bit of time if there are any 15 questions? No. 16 CHAIR: Our second speaker is Magdi Birtha, she is a Marie Curie Fellow and PhD candidate 17 here at the centre, her research is in the frame of the dream project and the focus on national 18 European monitoring of the CRPD on civil society involvement. And she is a special focus on 19 the active involvement of persons with disabilities in policy and decision-making processes. 20 MS BIRTHA: Thank you very much Mary for the introduction. Thank you for coming to the 21 summer school. 22 23 So today my task is to talk about some innovative practices from around the world. In my 24 research in the dream, as Mary said I'm really focusing on what makes Article 33 work and 25 today I will talk a little about the triangular framework, general challenges when implementing 26 Article 33 based on the empirical data collection from countries in and out of Europe, I have 27 some promising practices mentioned strength and challenges, and I haven't really seen any 28 perfect examples in terms of Article 33 implementation, and the empowerment of the disability 29 movement through an African example and some conclusions and recommendations. 30 31 So this is what is important, the triangle shape of Article 33 and as Gerard usually says this 32 triangulation usually requires balance of power and functions between the actors. So on one 33 hand there is government, law and policy maker, which accounts for the State. Which needs to 34 be in relation with Article 33 two elements independent body NHRI, which is the watchdog Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 53 1 having traditional experience in doing human rights monitoring and the very new innovative 2 element, civil society and especially DPOs who bring first hand experience. 3 4 It's very important to make the distinction between NGOs and DPO and not let the common 5 exclusive politics when human rights NGOs just take the leading role because DPOs are not 6 empowered enough so it's important to keep in mind that Article 33 is about the involvement of 7 persons with disabilities and their organisations. 8 9 So the current situation is that State parties are in the process to try to establish this framework 10 but the question is what makes it work. Because it's not a static thing it's very dynamic and 11 requires a whole new method, working collaboration, transparent working method between the 12 government, NHRI and civil society, which hasn't been there before. Not even the National 13 Human Rights Institutions work together with the organisations of persons with disabilities. 14 15 I have been in Moldova giving training to government representative and ombudsman office on 16 Article 33, it was surprising when the ombudsman told us look I know I have responsibility to 17 monitor the CRPD as part of my mandate but I'm in the sure I want to do it together with DPOs 18 and civil society members. And we were surprised to say look this is written in CRPD and it 19 was shocking when you realise it's not only the government to whom it is a challenge to 20 implement adequately it's also a challenge for some. NHRIs and State parties. 21 22 we have such a limited knowledge on the involvement of persons with disabilities to avoid 23 tokenistic presence and avoid consultation which happens, on paper we see which organisations 24 are entitled to participate in monitoring the CRPD but actually how do they feel their 25 involvement? That's a big question and something I'm trying to get when I'm going to talk to the 26 DPOs. 27 28 The challenges, one of the challenges is the formal establishment, it happens in many countries 29 there is a consensus on who is Article 32 body, the independent element but there was no formal 30 designation which is a problem because how much the government will consider the work of 31 such a body if it's not formally designated in law. 32 33 The second challenge I bring today is inclusion of the Paris principle compliant element, it 34 sounds easy because we have a list which are A, B or C status and NHRIs in the country but in Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 54 1 fact as some examples show the government, is not really thinking about including this element, 2 for instance in Hungary what happened was there was an excellent -- I'm from Hungary that's my 3 home country I'm particularly sensitive to what's happening there, they merged the ombudsman 4 office and now we have an ombudsman for fundamental rights and in the mandate in the law it 5 says it is the MPM for OPCAT, however it doesn't designate as Article 33.2 body even if 6 Hungary ratified the Convention back in 2007, it says that the ombudsman shall pay particular 7 attention to activities monitoring but this is not a designation in my understanding. 8 9 10 The adequate funding provided for activities of the framework, where the funding should come from as was raided by the question important, is very important. 11 12 The sustainability, so what I see around the first reporting process even if it's clear the question 13 how much the framework and DPOs can keep up the good work, which was put together and 14 highly depends special east in developing countries as we see later examples where the money is 15 coming from, if there is no internal money and the money is from, like the EU or other 16 international organisations, like what if the money is gone and who will monitor the 17 implementation of the convention afterwards. 18 19 The development of this new accessible working method, it's very important as the NHRI and 20 civil society, you need to see they bring different experiences to the table and it's very important 21 to develop this new relation between them. 22 23 Systematic monitoring is very challenging, if you think about the CRPD how many issues are 24 covered in the Convention, it's very challenging to ensure that it's really monitored in a 25 systematic manner. 26 27 The balanced participation of civil society so who represents civil society and who is not there, 28 whose voice is not heard, what we usually see; the organisations are the ones who have a chance 29 to represent themselves. It's very interesting and the whole family of organisations who claim to 30 be DPOs because they feel they are covered under the Convention. Also within the movement, 31 it's very heterogeneous movement, if you think about the deaf community, part of the deaf 32 community I met in some countries, advocate for segregated education, some other parts of the 33 deaf movement in the same country advocate for inclusive education in line with the CRPD so 34 it's very important to see the whole broad picture when we talk about disability or organisations Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 55 involvements. And transparency. 2 3 My first example I brought you today is Australia which ratified the convention in 2008, they 4 have a focal point the Attorney General's department which brings the legal, the justice aspect 5 and the other one is the department of familiar leaps housing community services and indigenous 6 affairs which rather brings the social welfare approach. 7 8 The Article 33.2 framework, so the Australian Human Rights Commission and especially the 9 Disability Discrimination Commissioner is considered as Article 33.2. But as you will sigh, one 10 of the challenges of this framework at the end it's not formally designated and it poses some 11 difficulties that's why I think it's important to look at the practice, because on paper this 12 Australian framework looks so great, but if you go there and talk to the people, they are not 13 happy about the lack of the designation for instance. 14 15 The Article 33.3 I just put here people with disability Australia, which is the big umbrella DPO 16 and Australian federation of disability organisations. 17 18 So some of the strengths that I see government recognises the CRPD and it's own obligations 19 under it. It doesn't mean it's doing everything right but when I was at the Attorney General's 20 office I was happy to hear that they take well the criticism from the National Human Rights 21 Institutions and from civil society and they know that this is the way to go and work together. 22 23 It sounds something which should be normal, but if you go to eastern European countries and so 24 many other parts of the world the government is not receptive at all to the criticism of civil 25 society, so I put in here as a positive aspect in the Australian case. 26 27 There is great and regular working relation between the actors, which is very important I think. 28 And maybe the fact that the NHRI, so Graham Innes, the Disability Discrimination 29 Commissioner, comes from the movement so maybe that's why it's easier in that case to maintain 30 every day connection between NHRI and civil society when doing monitoring work together and 31 the shadow report as you may have heard before was an extensive, three years process with a 32 broad collaboration and is considered one of the promising practices. 33 34 So the challenges, the lack of formal designation, the fact that in additional funding was Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 56 1 provided to the Australian Human Rights Commission, so is actually they don't do any CRPD 2 monitoring in a systematic way, they do the regular activities and of course some of them fall 3 under CRPD monitoring but it's important to see that CRPD monitoring as such a not happening 4 because there is no additional funding by anybody. 5 6 And if you start talking to advocates, persons with disabilities who work for PWDA are not 7 satisfied with the level of involvement in policy neighbouring they say it's tokenist rather than 8 meaningful. 9 10 The second example is New Zealand which also ratified in 2008 and the focal point is Office for 11 Disability Issues they also have a coordination mechanism, ministerial committee on disability 12 issues and Article 33.2 framework consists Human Rights Commission, ombudsman and 13 Convention coalition which is a group of DPOs funded by the government. 14 15 For me the New Zealand example is the best looking CRPD complaint Article 33.2 framework, 16 it's really -- it looks like how it's written in the Convention. The government is willing to 17 harmonise the work of different ministerial departments, to use better the limited resources and 18 there is a commitment, I said after talking to several ministerial representatives to make a 19 change. And they even fund the Convention coalition, which is very good, is it good for not if 20 the government funds? The group of DPOs to be able to participate in the work of the 21 monitoring framework? It's a billing question. In New Zealand several people told me they are 22 happy to get this fund and the government is not really tell them what to do, they really feel 23 independent and using this money at the best. 24 25 The challenges however that there is no systematic monitoring happening under this framework 26 either so I met members, if you are interesting I can tell you the list of DPOs who are part of this 27 Convention coalition, they said look we seriously don't remember the last time we had a 28 meeting, sometimes we get an e-mail or -- it's not really happening. And this is very concerning 29 because on paper this is really one of the best mechanisms invented. 30 31 Some member organisations were not even aware of any functions, but most of them knew that 32 this existed in the country. The indigenous people with disabilities I think is a very concerning 33 issue in New Zealand I met with the Maori disability community and they don't feel part of the 34 whole monitoring but they don't feel anyway included in the whole convention, it's partly Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 57 1 because the individual collective rights issue that what the CRPD offers is not, like indigenous 2 people cannot really apply the individual rights in their communities. Which I think is also 3 interesting when we talk about monitoring to see the regional issues. 4 5 Last I don't know how many minutes I have left three or four, so Zambia the Convention was 6 ratified in 2010, the focal point is Ministry of community development, which is in the process 7 to re appoint focal points and one has switched to several focal point system, but what interested 8 me is the independent monitoring unit which is supposed to be the Article 33 framework was 9 established as an initiative of civil society DPOs so the government didn't do anything to start 10 designating an independent mechanism. So civil society took the leading role, it raises another 11 question, how far we can take nothing about us without us, and is it great if civil society persons 12 with disability and their organisations become policy owners, or not? It's very concerning. 13 14 So I'm not using this as a good example for 33.2 but I tend to use it as a good example for the 15 empowerment of disability movement and active civil society presence. 16 17 I do think the strengths are that the civil society there is using the CRPD as an advocacy tool, 18 they go to small villages with copies of the CRPD, easy to use read, Braille, large print, to tell 19 the people what's going on, they are quite active in legal reviews and they ask the opinion of the 20 local communities, of their member organisations what to put in submissions. And they do a 21 awareness raising a lot. 22 23 However the challenges as I mentioned in the introduction, this is funded by international and 24 EU and if the money is gone what do they do, and I have a criticism, not a criticism but 25 constructive question, how do you evaluate, they got this extra none, but if you go there and talk 26 to the people they had no chance to get government money or any other internal money, it's a 27 very poor country the GDP is like 1600 euro and to compare with Germany where it's 57,000 so 28 it's a massive gap, so how do you ensure developing country to implement and monitor the 29 Convention. So I think it's a good example that it was their initiative as they felt that there is a 30 need to do something and it's very interesting that in the IMU, however the Human Rights 31 Commission, which is an A status NHRI in the country, formally part it have, but practically 32 they don't have any relations, so the Human Rights Commission is just practically left out from 33 the monitoring work. Very interesting I think. 34 Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 58 1 Here are some of my conclusions so the government shall formally designate an Article 33.2 2 framework including one or more independent elements. 3 4 Independent funding should be provided for members of the framework to carry out systematic 5 monitoring work. 6 7 The work of the framework should be regularly monitored because it often happens that it's 8 established, operating on a certain base and people are not satisfied with it, DPOs are not 9 satisfied, the NHRI doesn't know what to do but the question is who should monitor the work of 10 this framework and I guess the CRPD committee's feedback is very important. But I think that's 11 important question. 12 13 The meaningful participation of persons with disabilities should be guaranteed, it's very difficult 14 for me empirically to measure what is effective participation and not just active consultation. 15 16 Thank you very much. 17 CHAIR: Any questions for Magda? We'll take one or two. 18 PROF BICKENBACH: Just a question for all three of you, 33.2, the promotion, you 19 characterise that as raising awareness, or one of the activities. Of course we have an awareness 20 article as well, another rap and I didn't know if it was 7 or 8! But there is an awareness article. If 21 you look at the parallel with the feminist movement there was another kind of promotion issue 22 called consciousness raising. It also strikes me, there is statistics on representation of people's 23 with disabilities in DPOs, they are probably minimal, you are probably talking about 1%, 24 probably less than that of people with disability who are actually active members of DPOs. So 25 do you think under 33.2 there would be room for governments to be funding, not engage in 26 consciousness raising, but funding consciousness raising, that is to get people with disabilities to 27 realise their interests are being represented and that it is in their interest to be more participating 28 in this activity. 29 MS BIRTHA: Certainly, I also think that the governments in general should recognise in 30 policymaking they can benefit a lot from the activities of persons with disabilities. The smart 31 government, I met a few countries they really use the potential in civil society in drafting 32 policies. 33 PROF BICKENBACH: My question is on consciousness raising, that is to say the government 34 engaged in persuading people with disabilities to participate, not DPOs. Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 59 1 MS BIRTHA: It's difficult, but not the government, then who would fund this? And it would be 2 important I think, but I haven't really thought about this question in my research but thanks, it's 3 very important. 4 PROF De BECO: Very briefly maybe two aspects that I see in practice, one question is to 5 participate like in this whole framework is very difficult in practice, that we agree on. When a 6 government should -- actually I think the government should make sure that independent 7 mechanisms are accessible and there are ways to participate and should be encouraged but it 8 should not be forced. Because sometimes we are showing a lot of beautiful examples and it's 9 difficult for us to do that, I think the best will in the work would be to do the other way, a not to 10 do list, not to blame particular States, it's not easy to blame, but in the not to do, there are forcing 11 or excluding is not good I think. 12 CHAIR: One more and then we're breaking. 13 SPEAKER: Just a question -- forgot yeah, in your presentation you mentioned that Paris 14 Principles were endorsed by, but not adopted, does that have any effect on their status, the Paris 15 Principles status and effectiveness for NHRI? 16 PROF De BECO: Thank you for the question, it's very broad what you are asking me. In brief, I 17 think there is an evolution in the legal status of the Paris Principles, in the beginning it was just a 18 document drafted by the existing institutions but reminded by committee bodies by organisations 19 by everyone and any recommendation, you find them in two treaties in Opcat and CRPD, but it 20 has been strengthened since 2006 it has been enhanced, a permanent review which is in the very 21 transparent so far but gaining legitimacy, those that are accredited can have a seat in the Human 22 Rights Council, so there are, through different means it is getting a more important status but it is 23 not an international committee that's important to know. And the question is also whether this 24 kind of guideline written by institutions in 1991 are that much relevant today when we have 25 many different bodies present and when there are so many other institutions, but reviewing them 26 either making an international treaty would be dangerous, because States might water them 27 down, and even reviewing might not be possible because there are so many institutions today so 28 they require specificity. 29 SPEAKER: I just wonder whether there is universal or best practice monitoring tool that has 30 been developed by any of those countries to help, a tool for monitoring the implementation. 31 MS BIRTHA: Certainly there is a UN tool on monitoring. 32 PROF De BECO: I can only say that it's missing, do whatever you can to ask people to help 33 create one. There are a few guidelines, I can give you the list, but the monitoring tool, to 34 monitor implementation of Article 33, besides the feedback of the UNCRPD committee which is Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 60 1 very scarce and so far does not help that much, there is unfortunately not that much. 2 MS BIRTHA: There is a training tool developed by the UN on monitoring the CRPD and of 3 course it's one of the first publications in this regard, but I certainly think it's helpful but not 4 helpful for the dynamics of the framework and to maintain those relationships, but I do think it's 5 helpful for civil society to know better how to monitor, it's available online. 6 SPEAKER: Let's assume, there is a hypothetical example, a question to Magdi, let's say that you 7 have a government who is kind of committed to consulting with DPOs, and you have a DPO 8 movement that's fairly fragmented so you don't have a really strong voice speaking as one DPO 9 voice. And the government saying we do want to consult but really we can't speak to every 10 single DPO in the country, you guys must give us two or three people that we are going to 11 consult with, because it's impossible, we can't speak to every single organisation that comes and 12 wants to consult with us. How does one deal with that? Is this a valid dilemma on the part of 13 the government? Or what would your response be. 14 MS BIRTHA: It's a valid dilemma but also the government, because it's a very complex thing 15 the whole policy making and different Ministries and departments, and I think it's certainly 16 important for those departments to identify the first stage, the different stakeholders they need to 17 and be able to see this variation in the movement and not just choose the easy way that there is 18 this representative organisation, we know the leader, they just send somebody because that's 19 tokenism and I just feel this from the government side, to be conscious about who are our 20 stakeholders in the movement, we talk about, I don't know developing educational policy, who 21 are the organisations we need to invite and of course you can't have a hundred people around a 22 table, but you had need to plan this involvement in a strategic manner and to avoid that it's just a 23 consultation, where you as a government give a draft to some representatives of some DPOs and 24 they have a short deadline to comment and you don't even include the comments, because that's 25 what's happening with so many countries and they sell it as we consult with our DPOs and they 26 clearly don't. 27 SPEAKER: I'm going to ask, I'm an anthropologist speaking this afternoon so I'll bring this up 28 again, but one thing that strikes me working a lot in the developing world is we're talking about 29 all of this from a top down, but maybe we should reframe the question and think of it from the 30 bottom up. How accessible are all these structures if I'm a disabled woman in a rural farm stead 31 some place in Zambia or Tanzania, how do I even frame these questions, who do I contact, how 32 can I even get on a bus that's inaccessible to get it a nearby city to talk to somewhere who is a 33 lawyer if I have no education and may not even presume to be able to do that. How do I talk to 34 people in my household, people in my household telling me my needs are not as important as the Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 61 needs of the broader household or community in which I live. 2 3 The chances of my being part of a DPO are very slim in all these countries let alone having even 4 heard of a DPO. So I think we should also think, start from the individual up, how do people 5 who need this support get it. I don't hear that much of this discussion anywhere. I would 6 encourage people to start to think of it that way. 7 MS BIRTHA: I do agree, just one comment on this, I think it's really easy to go on the 8 centralisation line because it's just more effective and because all the time pressure an 9 inaccessible working method offered by the government, the DPOs in my understanding have to 10 choose just to go for centralisation, you have two or three active people whole do all the work 11 and the resources just cannot cover what you are talking about, which I think is absolutely 12 important. 13 SPEAKER: I didn't think you were going to solve it right here, I don't mean to put you on the 14 spot. 15 CHAIR: Thank you to Gauthier, Magdi and Meredith for a very lively presentation and thank 16 you for your questions and your discussions and we'll see you after lunch. 17 18 Luncheon adjournment 19 20 CHAIR: This session is looking at kick starting the process of change, learn ageing 21 development aid to enhance the process of change, international co-operation I'd like to 22 introduce our first speaker Prof Groce director of Leonard Cheshire inclusive development 23 centre in University College London I'm not sure I can give you her CV it's so wide, her depth of 24 experience is huge, but her research interests have included disability and international health 25 development, violence as a global health problem, equity in access to healthcare, minority and 26 rural communities, she also serves as advisor to UN World Health Organisations and other UN 27 agencies, and before she came to University College London she was a research scientist at 28 Harvard university and Associate Professor in global health. So I think we have a wealth of 29 experience here beside us today and without further ado I'd like to handover to Prof Groce. 30 PROF GROCE: That just means I'm older! 31 32 I've been assigned today to talk about Article 32 and here it is in all it's glory, I am going to 33 speak in two parts, I'm going to speak about Article 32 and the break ground of Article 32, and 34 then I'm going to speak about the perspective from someone who does international health and Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 62 1 development, so I'm not a lawyer, and I approach it from a very different perspective, I see both 2 the strength and some of the weaknesses of trying to carry out Article 32, let me just -- I meant 3 to highlight this but let me just go over it briefly. 4 5 The issue for Article 32 is that it's a statement that says State parties recognise the importance of 6 international co-operation and promotion and looks particularly at international and regional 7 organisations in civil society, in particular organisations of persons with disabilities although not 8 exclusively DPOs and then it has four sub themes, ensuring the international co-operation, 9 including international development programmes are inclusive and accessible. Facilitating and 10 supporting capacity building, including the exchange and sharing of information, experiences, 11 training programmes and best practices. Facilitating co-operation in research and access to 12 scientific and technical knowledge. And providing as appropriate technical, economic 13 assistance, including facilitating access to and sharing of accessible and assistive technologies. 14 15 That covers a very wide scope. Let me talk a bit about the background, it's also a very unique 16 article in many ways in this or any other Convention. 17 18 The article is founded on, with the knowledge that people with disabilities are among the most 19 marginalised and poorest of all poor people and that most international development activities do 20 not reach people with disabilities, it's estimated that 80% of persons with disabilities live in 21 developing countries while only 3 to 4% are estimated to benefit from development efforts. 22 23 We have statistics on disability, it's a best guess at best, I don't know where the 3 to 4% comes 24 from, so I would say it is widely quoted, but don't quote it of me, because again a lot of these 25 figures, it's like two out of every five felt of the poorest people on Earth are disabled that's a 26 guess not a statistics, when we're talking to people outside of the legal field, when we have to 27 talk about development. 28 29 A number of reasons it was felt there was an urgent need for the inclusion of a specific article on 30 international co-operation in the CRPD is testify and this is the article. 31 32 In many ways even when the Convention was being written this article was a centre of a good 33 deal of controversy, some State partners, especially the northern States were afraid of great 34 financial consequences. Some UN agencies were not too happy either, I won't go back, but if Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 63 1 you look at the article it's kind of vague, it says we'll help with all sorts of technical assistance, 2 we'll become involved in and support disabled people's organisations, there is no specificity 3 there. So they are talking about a right, but if you talk about development you are also talking 4 about an obligation to fund and to support, and that made a lot of State parties very nervous 5 because there is no end to the amount of support that you could give. 6 7 Traditionally UN Conventions only make brief reference to international co-operation concepts 8 and these are usually not linked to unqualified specific technological and economic assistance. 9 10 So even putting it in was a stab in the dark, but I think it was felt at the time, I recall the 11 discussions, it was felt that something had to be in there. And the reason it was felt that 12 something on international co-operation had to be in there was because disable is a major 13 crosscutting development issue for all development partners, although it is rarely addressed in 14 development efforts. Because international co-operation which is not inclusive of disability 15 issues potentially can lead to creation of long term barriers for people with disabilities, we have 16 recently written a paper which I actually company send, put up on the website, where we're 17 talking about a disability and development gap, so I think it's growing. 18 19 If no child in the village goes to school then the disabled child is not in school is not at a 20 particular disadvantage. Once every other child in the village goes to school that disabled child 21 is now both educationally and also socially often marginalised in a way they are not before 22 development comes in. 23 24 So development must be addressed. And also I believe Article 32 is put in because it was felt it 25 was a unique opportunity that would not come again. 26 27 Who supported the article when it came up for a vote? All the government delegations, 28 delegations with extensive development aid programmes such as the EU and countries like the 29 US, NGOs and DPOs so it had broad support. By the way I'm putting pictures in because 30 nobody is putting pictures in, so I thought it would wake you up! 31 32 Under Article 32 there is a number of obligations, it calls for international co-operation, 33 including international development programmes to be inclusive of and accessible to, persons 34 with disabilities. Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 64 1 2 What do we mean by international co-operation? Broadly we're talking about aid programmes, 3 exchange and sharing of information, experiences, training programmes and that should be best 4 practices. It could be although not currently used also nearly enough to talk about educational 5 exchanges, ensuring training of students with disabilities and training on disabilities for people 6 going into all the professions. 7 8 The obligation also is anything that enhances implementation. So sharing information, practices 9 for reference, scientific research, education, co-operation between States, international 10 organisations and civil society, in particular the DPOs and the development of technology. 11 12 That's a lot of development. It's made all the more striking by the fact that not only does it cut a 13 very wide swathe but we haven't informed development agencies about this yet, so the, it sounds 14 good on paper, but in fact and I'll come back to this in a bit, those obligated to respond and 15 collaborate for fact many of them don't know that the Convention exists, have not been part of 16 the dialogue, and really haven't thought through how their policies, other than perhaps the stray 17 small specifically targeted project or programme will reach people with disabilities. 18 19 Who is obligated? Well everybody. State parties, regional groups like EU, specialised agencies 20 like World Health Organisation and UNICEF, financial institutions including World Bank and 21 actors in the north and south and it has implications for all work, so for example the millennium 22 development goals should be, when the Convention came in, it was passed and ratified in 23 2006-2008 we need to go back and look at all the millennium goals and see how those are 24 affected by something like the Convention. 25 26 Where is disability mentioned in any of the millennium development goals? Well it's not that 27 boat had sailed by the time we start to look in 2002 at the UN, at putting together a UN 28 Convention we were already two years into the millennium development goals we are now 29 having another conversation on MDG, and what it will look like in post 2015 agenda, but in fact 30 I'll come back to this again, currently there is nothing on disability in most of the naming or 31 instruments that are driving the international development agenda and the MDGs top the list. 32 33 What are State parties obliged to do under this Article 32? Well they are supposed to establish 34 and presumably maintain relations between all actors link all fields related to disability in a multi Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 65 1 lateral and decentralised co-operation, around things like poverty alleviation, health, education, 2 civic involvement and also co-operation through technical and/or economic assistance. 3 4 It's also linked to Article 31. Again States are to collect data and statistics, to disseminate data 5 and this has a very applied implication for Article 32. Briefly, unless you know where you are 6 you don't know where you're going. And so if you don't have statistics now figuring out whether 7 any progress has been made is very difficult to do. 8 9 And we're talking about statistics or monitoring or evaluating, but when it comes right down to 10 it, unless you have the numbers how many people are affected, how many programmes, has there 11 been an improvement over time in people's income or level of education, so baseline and some 12 progress being made on baseline, just saying how many people are affected or how many people 13 with disabilities live in poverty doesn't tell you much, if you say 40% of all people in country X 14 who are disabled make less than 1.25 dollar a day that's important but you also need to know 15 whether 40% of non-disabled people make the same amount or whether people who are disabled 16 -- actually there are only three answers to much of the research. People with disabilities are 17 either worse off, same as or better than people non-disabled in the same category. 18 19 So all this talk about monitoring and evaluation in terms of the development component, we 20 need to think of in terms of not just figuring out where we're going but where we are now and 21 building on that. 22 23 This is not entirely new, there was a call for a statistics bureau on disability that went in and was 24 passed around at a meeting in 1932 that the league of nations ran, it was a proposal that was put 25 in by what's today the New York based organisation Rehabilitation International. 26 27 So we have known this was coming for a while. But again we still have very little in terms of 28 actual information on which to build. 29 30 Finally, then I'll get back to development perspective on this. The very last line of the Article 32 31 says: The provisions of this article with without prejudice to the obligations of each State party 32 to fulfil its obligations under the present Convention. This means to me at least as a non lawyer, 33 that if States don't meet this article or do not implement in a time leeway, non of the rest of the 34 convention is to be held up. So in a sense you can do the rest of the Convention without doing Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 66 anything about international development and it should still move ahead. 2 3 In a sense then Article 32 is aspirational. Where we would like to go as oppose to where we are 4 now. 5 6 What does this look like on the ground? This looks very impressive. But what does it look like 7 on the ground? Well, there is a distinction, a fundamental distinction between a rights 8 perspective and a development perspective to begin with and we really haven't had much of a 9 conversation about this. A rights perspective as lawyers or people approaching rights issues, you 10 will say it doesn't matter if it's one person or a thousand or 10,000 people, their right to for 11 example get to the voting booth and vote is the same. 12 13 So we want every voting booth in this country to be disability assessable even if only one person 14 votes. That's not -- is that fair enough for a rights perspective? From development perspective, 15 people working in international development are coming from both economics and in terms of 16 health, they are coming from epidemiology as a background and they are thinking greatest good 17 for the greatest number. 18 19 So they are not going to - if I said I want everything to stop and for you to put in place accessible 20 voting booths for that one person somewhere in the country who might want to vote, the 21 response I would get from most development people is say certainly we appreciate that, it's a 22 nice thought but how about the, can't we put in a ramp to a health clinic instead or a ramp to 23 schools where we know we'll get more people, we know that 10,000 children will be affected not 24 just that one. 25 26 So the numbers are not only important but they set priorities. And it can be very complex. I was 27 going to give an example, a couple of weeks ago we wrapped up a big study in Nepal where we 28 looked at disabled women's access to maternal health services. We found that, we surveyed 29 almost 14,000 women of whom 28% or about 4,000 were disabled, but of those women with 30 disabilities it was the women with more severe disabilities which was only a much smaller 31 number only several hundred who really needed intense support and services. 32 33 So what do I tell the local Minister of health in the Mokoupor district in Nepal I can say and I 34 did last week in a meeting you need to educate all your health workers on how to treat women Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 67 with disability with respect and dignity and here are their rights. 2 3 But when it came to where do we put the most funding it would be in an out reach effort for 4 women with the more severe disabilities to teach them how to take care of neonates immediately 5 afterbirth. So my suggestion was not just a rights based suggestion, I can broadly say rights, but 6 when it came right down to it, in terms of priority they have a limited budget and a limited 7 amount of time and attention, they are going to pay to this information. 8 9 If I'm thinking of Article 32 and thinking what I say as a medical anthropologist I'm not really 10 taking a rights approach, I wish I could. It's a luxury in some ways that I can't afford or I'm 11 going to lose the dialogue. 12 13 So that comes to, plays out in things like millennium development goals, do you do the greatest 14 good for greater number, do you talk about rights? I'm not going to decide this, but I do want to 15 bring it to your attention. 16 17 It's not as easy as just saying rights when it comes from the bottom up. Also when it comes to 18 work under way there is a lot of work under way in many of the countries I have worked in, 19 where the national ratification of the CRPD has been an important step forward, I'm talking in 20 the last six months forks I've worked in Tanzania, Zambia, Uganda and a couple of others, the 21 CRPD is very important and the CRPD has engendered national policies that also look great on 22 paper and in some cases for example Tanzania just did an excellent national census, so for the 23 first time instead of guessing how many disabled people there are we know now on the village 24 level in Tanzania how many people with disabilities there are. 25 26 Best practices have lagged behind but suddenly we are getting, from a development perspective 27 we are start to get data, we are starting to fill in at least pieces of puzzle but data and numbers 28 alone don't drive policy and neither does law. I'll say this now, I'm terrible with PowerPoint, so I 29 might come back in a little bit. But it's important to realise there is a top down and bottom up 30 approach. 31 32 Tanzania is a good example. They have a very good, they have done a lot with awareness, a lot 33 of the Ministers now know about the issues involved, there is a strong civil society and DPO 34 movement that has start to move forward. So people in on the dialogue about the Convention, Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 68 1 but you go to any NGO, large NGO like save the children or Oxfam and ask them about 2 disabilities and they will say oh well we did have a special, one special programme for 3 disabilities about three years ago once for a group of disabled children. Or a large NGO that will 4 go nameless talked about, they certainly supported disabled children and they actually got three 5 wheelchairs just last year for all the children of Tanzania, I think three wheelchairs doesn't do it! 6 7 So in terms of just the numbers involved, knowing that these things are on the books was not 8 translating down in a meaningful way. And when it does translate down, when you go to people 9 who know about these things, you go into a Minister of health or Minister of Education or 10 something and say the Convention says this, but I notice that non of the children in this district 11 are currently in school, but the law is clearly on the book, often his or her response is yeah, we 12 know, what are you going to do about it? 13 14 So just having the laws on the books do not generate the action that we sometimes think it does. 15 You can't -- in many countries you can't just sue and get your rights. And in fact I said this 16 earlier in a comment. If you are an individual with a disability in a small village or in a rural 17 slum, where do you start, how do you even move up that chain? 18 19 Again I have more questions than answers with this. But I think we should be asking these 20 questions. We made great progress with the CRPD, but until the CRPD starts playing out on the 21 ground with people that really need the support, then we've not fully implemented the 22 Convention. 23 24 I don't know if we'll ever fully implement the convention, but we need to be perhaps asking 25 tougher questions. I'll give Janet to give the example of AIDS that's a good example. I've 26 worked some on the impact of issue of AIDS on people with pre-existing disabilities, people 27 with disabilities are at significantly increased risk of becoming HIV positive, they are as sexually 28 active as any other group, they are more likely to be sexually abused, less likely to get 29 information about how to protect themselves from becoming infected and once infected they are 30 less likely than other people to be able to get the care, support and resources that they need and 31 often are entitled to by law, in order to make sure that they stay as healthy as possible for as long 32 as possible. 33 34 Nonetheless, getting the attention of the global AIDS community, which should be, because they Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 69 1 are under the swathe of millennium goals, they should be bound also by the Convention, and 2 they are simply not. Actually Janet and Steve Estey also have been part of a campaign we have 3 been having for about four or five years now, where we're continually pestering and I mean 4 calling and showing up at the doorstep of UN AIDS, we even got a statement out of Michelle 5 Sedabey head of UN AIDS about how they need to pay more attention to persons with 6 disabilities. 7 8 Nonetheless there is nothing that we have been able to do to get the global AIDS mechanism to 9 be more responsive to people with disabilities. That's a tragedy and a lost opportunity and the 10 Convention should be a mechanism that allows us to pull a lever and get people's attention. 11 12 It does to some extent but not nearly enough. So the issue is what, my question to all the smart 13 lawyers and policy people in the room is what mechanisms are we missing so that we can have 14 Article 32 in Convention, we have 132 countries signing onto the Convention and yet we're not 15 able to actually move things in most countries where the Convention has been ratified. 16 17 Also in terms of legal efficacy, by the way I don't mean to make -- it sounds like I'm 18 complaining about the convention I'm not at all, but I do want to say coming from outside I see 19 its limitations as well as the strengths and so they invited me here to say a few things about 20 development, so I'm just going to bring up some of the other issues that bother me on a regular 21 basis. 22 23 One is that we think this is the only system we have when we talk about national legal systems, 24 there are also traditional legal systems, local legal systems, often they are not moved into the 25 national legal systems and we need to have a dialogue within many of the traditional legal 26 systems as well, how people run their families and communities and have the Convention also 27 translated into a format where people, under traditional tribal legal systems think through what 28 the Convention means to them. 29 30 We keep talking about stigma and prejudice, there is a lot of stigma and prejudice out there, but I 31 often see -- I certainly encounter a lot of stigma and prejudice but I also see people just don't 32 know what to do, I think it's more ignorance often than Stig map and prejudice so you sit down 33 with a local tribal leader number some of the places I worked and explanation the Convention 34 and they'll always say oh my grandson has just this problem, I have often wondered what it do as Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 70 well. 2 3 So again while stigma and prejudice are important, it's equally important to realise we sometimes 4 miss teaching opportunities and for people who just don't know where to start, or often have 5 never thought about disability in anything other than a medical context. 6 7 So I think the convention is an extremely powerful tool to frame this kind of dialogue, but we 8 have to start off with the idea that most people have not heard of the Convention. Even most 9 disabled people in the world have not heard of the Convention. I just finished a study for 10 Barbara Murray and the International Labour Organisation, we went out and I did a study of 11 disabled beggars in Ethiopia and I went and surveyed a whole bunch of people who weren't quite 12 begging, who were disabled and live on the streets or slums of Adis and asked how many had 13 ever heard of the Convention, less than 7% had ever heard of the Convention and that was only 14 because it had recently been on the local radio. 15 16 Only 3% had had any contact with any local DPOs so we're assuming that our efforts at this 17 level are reaching people with disabilities at the ground level and it's sadly often not the case. 18 19 Also in terms of need and priority, there are different levels we need to think about when it 20 comes to the Convention. Government is one, as I said the government, you can have people in 21 my experience a lot of people who work in Ministries and other places are very smart, very 22 dedicated people, but that doesn't mean that the work moves beyond the Ministries. 23 24 You have local government official who is always are not approached when we think the 25 Ministries will tell them about the Convention, in fact I think that's maybe something where we 26 can effectively go in and get people's attention at the local government level. And I have already 27 spoken about traditional practices. By the way talking about traditional practices and beliefs we 28 often say we have to fix things, but we really need to think, this is true for disability worldwide, 29 it's often complex and nuanced, so for example I put Ecuador there so I'll tell awe story, I did a 30 study not that long ago, actually it's three or four years ago. 31 32 I went in with a student of mine, we were going to look at childhood immunisation rates in a part 33 of Ecuador and my theory was that disabled children would be much less likely to be immunised 34 than the non-disabled siblings, turns out they had exactly the same rate of immunisation and the Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 71 1 reason was because the local belief was that disabled people were just like everybody else. And 2 so they didn't have a prejudice towards disability that we had assumed would exist. 3 4 So we need to look at traditional beliefs about disability, because sometimes they are not 5 prejudicial and we can build on them as opposed to assuming that we know better. Again 6 because we're building on them and building towards things that can link in with the Convention, 7 and I think that's very important and it's a lesson we are learning coming from a development 8 perspective. 9 10 Also I mention this to my comrades earlier, rights at a household level, versus individual rights 11 is an issue that comes up time and again. Much of the world thinks in terms of collective rights 12 as opposed to individual rights, and I think it's particularly complex when it comes to issues of 13 women, persons with more severe types of disabilities, persons depending on the country and 14 region, certain types of disabilities, often -- I just was speaking to a woman who was a chair user 15 a couple of weeks ago, of living in a large extended household in a family in Zambia, she said I 16 know -- she was well educated she said I know my rights under the Convention but I don't want 17 to press them because my family is very poor and I feel the priority in my family should be the 18 children who are not getting enough to eat. 19 20 Where do we start with that? Well there is lots of places to start, I'm not going to did you say at 21 lengths here, but again we need to think of how Article 32 translates on the ground into 22 complexities. 23 24 There are additional complexity, rural versus urban, gender, ethnic, the type of disability one 25 has, the severity of that disability, the age of on set of a disability will make individual choices 26 different. Someone who loses their vision at birth is going to have a very different Life Course 27 than someone who loses their vision at age 45 and we need to think of that. Again in terms of a 28 rights perspective it makes no difference, one person is as entitled as another to all that the 29 Convention has to offer. 30 31 But in terms of development and thinking through the complexities of development, we need to 32 have a very thoughtful dialogue on how we as a global advocacy community are going to handle 33 this. 34 Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 72 1 There are currently also a number of players the UN system for example some of whom are 2 suddenly on board, the World Health Organisation a year and a half ago put out the world report 3 on disability, three weeks ago the state of the world's children the annual report from UNICEF 4 on something to do with children, this years thanks to Roseanne Beiler and her crew have for the 5 first time featured disabled children, get online and look at the state of the world's children, it's 6 the most current thinking and current data avail on disabled children worldwide, these are 7 important steps forward. 8 9 There is also new development activity, AusAid the Australian government's funding of 10 international development efforts, DFID the British, I was going to say UN AIDS but I'm going 11 to leave them off because they haven't done much recently; USAID also these organisations are 12 starting to do a bit more on international development and it's framed by the Convention, having 13 said that bilateral support goes up and down, so USAID used to do a lot currently they are 14 missing in action as far as I can tell if that's fair to say Janet? We like them but they are missing 15 in action. AusAid used to do nothing now they are working more. 16 17 Nothing stays fixed but there are global trends and differences that you need to stay on top of if 18 you are talking about Article 32 and who the players are who are being responding to, should be 19 responding to it. The big international aid organisations that do most global development, again 20 things like Oxfam, save the children, you know the list, historically and currently are doing very 21 little that could be considered really helpful for persons with disabilities, they have sometimes 22 some programmes, but in my experience, often when you press them on it, especially in light of 23 the Convention, what they say is our programmes are universal, they reach everybody but they 24 reach everybody but not persons with disabilities. And what we need is more of a twin track 25 approach where you have both inclusive programmes and programmes targeting at specific 26 populations in need. And we don't have that, I think we're letting a lot of these big organisations 27 slide because nobody is showing up at their doorstep with a copy of the Convention and saying 28 hi we're your local DPO and we'd like to go over the Convention with you in detail, Oxfam or 29 save the children or whatever. 30 31 So those of you who are in any third world country where these organisations work, or any 32 developed country where these organisations collect a lot of tax free money, might want to just 33 Mosey on down to the local NGO with a copy of the Convention and have a dialogue on what 34 they are doing especially in light of Article 32. Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 73 1 2 Again the DPOs and civic society I mentioned before so I won't go over it here. 3 4 So this is, I've covered a lot of ground very quickly! But what are the next steps? Well I would 5 say the next steps are that we need to realise that just because something is a law at the global 6 level or Convention at the global level doesn't mean it translates into action on the ground. 7 8 There is an assumption that it does, we have to start some place, I'm not against international 9 conventions and I know that many of you have dedicated your lives to the CRPD so I'm not, 10 again I think it's a terrific place to start. But just because it's on the books, even when it's been 11 ratified by a national government and even when the national government has come up with a 12 national policy to match, so the way that the Convention works is that you ratify the Convention 13 and either before or after that, depending on what country, so for example Canada, I believe has 14 to change the laws before they approve a convention, other countries do it afterwards. 15 16 But you domestic ate the Convention by changing the other laws to be in line with that 17 overarching Convention. Many countries have done it and done it well. I know a few countries 18 with better policies on the books than Uganda, so there are many countries that have really 19 excellent policies and really excellent laws and really excellent national guidelines, but unless 20 they are enforced it really is kind of an exercise in futility. They are there and we should work 21 with them more, but when you get into the office of the Minister of Education or the local 22 district governor and you trot out all this information and the response is well yes, we know it's a 23 law, but we have no money to implement it, we have more pressing issues in mind, what are you 24 going to do about it? 25 26 The US would say, so sue me, only in this case, if you sue them there is almost, you get a very 27 small settlement, maybe ten years down the road if the legal system is working at all, and so 28 again it's not as straightforward a process as one would think. 29 30 So to summarise, Article 32 opens a can of worms in some ways. It puts us on the block by 31 saying while we're here with the Convention, let's include all of international development and 32 by international development I also include things like global health, so overarching 33 international development and we'll get all these groups to talk to each other, do data, we'll 34 monitor and evaluate and make sure it really translates into action on the ground. Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 74 1 2 I would argue in some ways Article 32 may be the most ambitious and least successful 3 component currently of the Convention, having said that it offers tremendous possibilities for 4 advancement. We can pick it apart, we can -- we don't have to do it all in one go, but I think it 5 provides a framework that at least allows us at people working in the global advocacy from a 6 legal perspective, to open a dialogue with many people at all levels in many countries, both 7 developed and developing countries. Where before the passage of the Convention we weren't 8 entitled to have that dialogue. So in some ways maybe I shouldn't say the least successful, let 9 me put it more up beat way, I think the Article 32 offers the most potential, unexplored potential 10 to really make a difference. 11 12 But thus far it's also been, we haven't explored that potential and we need to understand that 13 there are limitations and very importantly we need to understand that the entire global 14 development community is coming at these issues in a completely different way than the global 15 rights community. 16 17 It's not that people in international development haven't thoughts of rights and it's not that they 18 don't think rights aren't important, but they do think that rights take a back seat often times to a 19 different mindset of the greatest good for the greatest number. And I see in the coming years a 20 need to really have a, develop a common dialogue between the two. 21 22 Okay now that I've cheered everybody up! 23 CHAIR: We'll have responses but I think also we should have some questions as well if 24 anybody has some questions. I'm really bad at pointing people out. So the person at the very 25 back with the glasses. 26 SPEAKER: Hi my name is Robert I used to work at the world food programme and food and 27 agriculture organisation, I loved your presentation, you hit a lot of nails on the head, I just had 28 two questions, number one, post millennium development goal agenda, I don't know that much 29 information about it, because I don't know if it's still being drafted, if it's launched, but when it 30 comes to people with disabilities do you know if there will be updates on that? I tried to do a 31 quick Google search but couldn't find anything. 32 33 Number two this is going to get really misconstrued so I'm going to try to ask in the most 34 politically correct way possible, but when I think of inclusive development I think of cultural Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 75 1 relativism in itself being a barrier, no I just said it but let me explain! You said there is a lot of 2 stigma, such as HIV still being a taboo, disability still being seen as a shame, Albino being off to 3 the side, there is lots of examples I can list many more, but when it comes to those issues, I don't 4 want to be seen as the white guy in Africa blaming the victim or anything like that, but including 5 the twin track approach that you brought up earlier that's really interesting, what other tactics can 6 INGOs do in order to include people with disabilities? I think that's it. 7 MS GROCE: I'm going to answer the questions and I also have someone doing a thesis on this 8 I'll turn it over to her. In terms of the MDG there is an ongoing dialogue there is regional 9 meeting all over the world among disability groups I was at one in Malaysia a month ago, so 10 there is some discussion starting to form and policy papers, it sounds great. 11 12 The MDGs themselves haven't gotten their act together yet, so the committees they are writing 13 papers for haven't started yet. And so what the ultimate inclusion will be I'm not sure, in the 14 year 2000 when the MDGs first were written the global disability community looked very 15 different. Now in the aftermath of all the work mainly that came together around the 16 Convention, it's a very different frame of reference and the global disability community is poised 17 and waiting for the UN to get its act together to do something with the MDGs. 18 19 Having said that they are being re written now and they have to have something in 2015. But 20 they don't have to have something, it's possible that the UN has done it before, everybody will 21 gather around the table and there will be no consensus, we are assuming there will be another set 22 of MDGs there may not be and we should think if it falls apart like the Rio conferences fell 23 apart, what's our fall back strategy if there is no MDG? 24 25 As far as cultural relativism goes, there is lots of ways to approach it. As I said there are 26 different -- we have done very little research on how different societies deal with disabilities in 27 different ways this is going on, years ago, this shows how old I am, I did my thesis as an 28 anthropologist I stumbled across an island with a high rate of hereditary deafness and everybody 29 on the island adapted by becoming bilingual in English and sign language, I have been thinking 30 about this for a long time. 31 32 One place to start is to start by talking to the local people with disabilities and seeing what their 33 take is on it and what they would like to do about their lives and their own communities. We 34 don't do that enough. We go in and assume we can speak know on of half people who are Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 76 disabled at the local level, but if we asked them more that we might have some place to start. 2 3 I could go on about cultural relativism but as an anthropologist you don't want to hear me go on 4 for hours, let me turn the floor over to Mary. 5 CHAIR: In terms of the process at the moment the high level panel have published a report in 6 the past two weeks and it disability has been referenced in it but that is only one part of the 7 process. So there is a stock take meeting happening in New York in September, which will be 8 bringing together the processes that have happened over the past couple of months. Then it will 9 go into an open working group which will work for another year which will -- there is a lot, I 10 think there is an understanding that what's happened up till now will translate into that, but there 11 isn't any particular guarantee around that. 12 13 So I think there is a lot of emphasis and work put into consultation happening at country level 14 for the past year, the high level panel report is published so now it's about, still another year and 15 a half of very strong advocacy work that needs to go on. We are not even sure how open the 16 process will be after September, in comparison to what it's been to now. So that's where it's at at 17 the moment. 18 MS GROCE: So me the practice, who is in New York coming up with it is like a black box it 19 took me months to understand what was going on and even then it was squished, so I'm the first 20 to say I'm mystified about the MDG process itself, but when I try to find out what's going on 21 from people who should know they seem equally mystified so the term is "stay tuned." 22 SPEAKER: I would like to hear from you particularly on the issue of how one form of disability 23 can deal with another form. For example particularly it in developing countries like India can 24 we have syndicates where blind and physically disabled and even sometimes intellectually 25 disabled people come together to syndicate and empower themselves. 26 PROF GROCE: So you mean syndicates where people with similar disabilities band together to 27 support? Yes. And I mean historically there have been syndicates like that in many countries 28 for many years, the syndicates, I think it's an interesting approach to disability. 29 30 One of the things I'm interested in and we don't know that much about, is how the syndicates 31 have allied with DPOs. 32 SPEAKER: That's the problem. Because I feel that there is a lack of dialogue between the 33 disabilities. For example DPOs working for visually impaired have very little to offer when it 34 comes to people with speech impediments, so there is a lack of dialogue between the different Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 77 1 disabilities. So how to enter into the dialogue and don't you think that encouraging dialogue, 2 particularly in the developing world will be useful, where you don't have any DPOs. 3 MS GROCE: It depends on the country, many countries do have those dialogue, they have 4 national federation style, disabled people's international here that put together some of that, in 5 countries I saw someone here from Zambia, they have Zafa there are some good overarching 6 organisations but still many times where DPOs are put -- let me rephrase that, I think part of the 7 problem is not just there are competing interests but often a very small pot of money and people 8 from outside the disability community are coming in and saying we don't know who to give this 9 to, show us that your particular group is more disadvantaged and more at risk than somebody 10 with a different kind of disability. 11 12 So we're continually putting DPOs in competition with each other for a piece of the, the same 13 piece of the pie, instead of saying why isn't the pie larger. That's part of the problem. I'm not 14 sure if I'm answering the question though. 15 CHAIR: Thank you, I think Janet maybe you would like to take the stand. Janet is going to give 16 a response. Janet is an international disability rights lawyer currently a senior research associate 17 at the Harvard Law School project on disability. And Janet has a wide-ranging experience with 18 regard to international development; she consults regularly with UN high commission for human 19 rights, UN DP, all the UN agencies here, also with bilateral donor agency such as USAID. 20 MS LORD: Thank you Mary, I guess my response, I'll frame it perhaps in terms of Nora's theme 21 which is the complexity of implementing Article 32 and I'll talk about that a little bit, both with 22 respect to bottom up or grass-roots level implementation of Article 32 as well as top down 23 challenges. 24 25 I'll start with top down challenges and a lot of the context for my work has been working on 26 projects, disability inclusive projects funded by the US government, particularly USAID and the 27 State Department and I'll talk a little about that and the challenges that I have encountered in that 28 context. 29 30 And I worked both on disability specific projects, I have done a lot of work around election 31 assistance, various types of democracy and governance project that is are disability specific in 32 focus. But I also worked on some larger development projects or what we call mainstream 33 development projects in which I was working on a disability component, attempting to 34 contribute the disability rights perspective. Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 78 1 2 Both of those are challenging for various reasons. I do think that we have come a long way, 3 because now disability inclusive development is actually on the agenda as part of the dialogue, 4 we have a long way to go. I think the discussion around disability and development in the 5 context of the treaty really did serve as an impetus for a number of donor to start thinking 6 seriously about developing some sort of disability policy or reforming the policy they did have, 7 so we are seeing some exciting developments I think Mary, that are reflected in Mary's work 8 she'll point to those. 9 10 I'll talk a little about USAID, they started in 1997 with a disability policy paper that was non- 11 binding but the objective was to avoid discrimination against persons with disabilities in 12 programmes that USAID funds. And it aims to promote the inclusion of people within 13 disabilities in USAID programmes and in host countries where USAID has programmes. 14 15 So that was a start, not much happened, it wasn't really binding. In 2004 and notably that was 16 during the treaty process, the USAID made that policy guideline a formal policy, with more 17 specific objectives around non-discrimination and increasing awareness about disability issues 18 and USAID programmes, supporting advocacy for persons with disabilities, so it had a little bit 19 more heft but still was a long way in really being effective when implemented. 20 21 President Obama has moved the ball forward I think in appointing Charlotte McClain who many 22 of you may know, who is the disability policy coordinator at USAID and she is doing a lot 23 within the agency, one of the things she is looking at doing is actually reforming even further the 24 USAID disability policy, but she would be the first to say there are a number of tremendous 25 challenges in implementing the policy. 26 27 At the top down level, so actually informing mission directors at USAID about disability issues 28 making sure it's on the agenda, actually making sure USAID missions are accessible to persons 29 with disabilities, so that DPO leaders can actually engage in conversations and learn more about 30 possible funding opportunities so that in and of itself is a big challenge. 31 32 Actually ensuring that persons with disability can apply for and be recruited and get jobs within 33 USAID, we have improvements but we still have all sorts of barriers to persons obtaining 34 medical clearance to work for USAID and work for the State Department. I was involved in a Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 79 1 research department funded by National Council on disability that looked at a number of these 2 particular barriers and they were pretty shocking some of them. 3 4 One particular woman who had worked internationally for a number of different agencies and 5 she had lived abroad in some pretty low infrastructure post conflict type environments but when 6 it came to the appointment in the context of getting a job as a development officer in the US 7 government, living abroad in a country similar to the countries where she had already lived and 8 worked, she couldn't get medical clearance and they said it would just be impossible for her to 9 live in another country like that and be able to work. It took quite an effort for her to challenge 10 that. 11 12 So all sorts of issues and problems with regard to that. And Charlotte McClain is in the process 13 of doing quite a lot of training to raise awareness about disability issues and what disability 14 inclusion really means because it's one thing to have a policy but translating that as Nora said 15 into action on the ground, what does that mean in the context of a court administration reform 16 project being funded across Indonesia, what does it mean in the context of a HIV AIDS 17 programme, large scale programme to actually reach persons with disabilities and actually 18 measure health outcomes. 19 20 Well there is things that you actually have to do, you can't just wish inclusion into a project. So 21 we came up with a number of recommendations to the USAID in order to, as a part of the 22 national Council on disability project and I'll just go through a few of those recommendations to 23 give you an idea of what came out of that research. 24 25 One was to enhance disability inclusion training in sessions for employees at USAID missions 26 and embassies; another was to update, review and update the disability policy. It's a bit outdated 27 and again it doesn't really give implementers any kind of guidance as to what needs to happen to 28 make inclusion actually work. 29 30 As well as recommendations around issuing additional directives that require meaningful 31 disability inclusion in statements of work and programme descriptions, so if you have a 32 multi-million dollar project that aims to reform the police in a particular country, the statement 33 of work and programme description ought to have a more specific disability dimension, it's not 34 to say it be inclusive of persons with disability, that's not going to give responders to the Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 80 proposals much help as it what to do. 2 3 Charlotte McClain is working on applying a disability lens to the monitoring and evaluation 4 effort so we can actually enhance data collection, so that when an implementer says yes our 5 project aims to reach everyone, we're in fact knowing whether it is reaching persons with 6 disabilities. 7 8 Other things that seem a little mundane but that are really important, providing instructions for 9 applications for projects in the preparation of cost proposals for USAID on how to cost for 10 reasonable accommodations and modifications for persons with disabilities in order to make a 11 project accessible. 12 13 So including a line item in the cost proposal for the costing of am accommodation is actually 14 really important. If you want to in the context of a civil society programme, ensure that disabled 15 people's organisations are included you actually have to think about reasonable accommodation 16 measures and making your meeting space accessible. These are things that have not really been 17 talked about, certainly not something that the big mainstream organisations doing development 18 assistance think about at all. 19 20 And I think the disability community has done quite frankly a very poor job of engaging with the 21 mainstream development organisations on these kinds of issues. Typically disability 22 organisations have not played much of a role in these large mainstream development 23 programmes and hence there is very little understanding and capacity within the large 24 organisations about particular strategies to reach persons with disabilities or strategies to make 25 programmes inclusive. So a lot of it is on us in the disability community to reach out and make 26 ourselves resources and experts for those organisations because it's not going to happen without 27 our advocacy. 28 29 This is a big business, it's an industry, international development and again we can't just wish for 30 inclusion we have to make it happen. 31 32 One of the areas where I'm not at all optimistic about is not so much USAID funding or State 33 Department funding, but funding by the Department of Defence. We attempt to look into 34 funding of development assistance programmes by the Department of Defence and it's an Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 81 1 impenetrable, very difficult to obtain any information, but we do know that DoD projects 2 funding inaccessible infrastructure in a lot of developing countries, in Iraq, Afghanistan, a lot of 3 other countries, that's highly problematic, so not just USAID, it was State Department and we 4 typically think of as doing international development work, it's also the Department of Defence 5 and it's a whole variety of other federal agencies. 6 7 So the complexity is really intense when you think about US funding for international 8 development and really what needs to be happening across different agencies in order to make 9 projects inclusive. 10 11 Then thinking about what inclusion might mean or look like in practice, Nora referenced the 12 work that she has done and she has been way too modest, around inclusion in the context of HIV 13 and AIDS programming and she really did the path breaking work which was showing the 14 population of persons with disabilities was really being missed in the massively funded project 15 that is were focusing on HIV AIDS education, testing, counselling, care and treatment, and the 16 technology Nora and her colleagues developed to address those gaps is really useful and easily 17 translatable to other projects. 18 19 So looking at low cost or no cost solutions to make a particular HIV AIDS programme 20 accessible, just ensuring for example that education, HIV education projects at community 21 centres are accessible, they are not held on the second floor. Or taking various actions to reach 22 out and train disabled persons in HIV education programmes, not just reaching out to other civil 23 society groups, women's groups or child rights groups, but including disabled people's 24 organisations. And then there is a sort of plethora of other types of responses that maybe a little 25 more costly or more long term in nature, but I think that's a really useful way to think about it. 26 27 We worked on a project in Zambia in which a very large mainstream HIV AIDS programme 28 funded by the US government was put in place and we were able to hire a young disability 29 advocate to work in that project as a disability focal point and expert and he was very well 30 connected to the disability coalition in the country and they worked very successfully on 31 ensuring that the educational project, resource that is were developed in the framework of the 32 project took disability into account and appropriately characterised disability and not reinforcing 33 negative stereotypes. Persons with disabilities were train to go and do HIV AIDS outreach in the 34 framework of that have project. Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 82 1 2 So there is a lot to do in terms of working with disability organisations, disability advocates to 3 make sure these development dollars are actually spent in a sensible and accessible way and I 4 would say that Article 32 needs to be informed by the rest of the Convention, because the 5 Convention provide a great template for insuring that development is inclusive and in line with 6 human rights. 7 8 So unfortunately one of the problems we still see around the world is donors funding the 9 building of institutions or orphanages, or funders reform of mental health legislation or other 10 disability legislation in way that is are not at all in keeping or consistent with CRPD. 11 12 So in terms of discussions this week around legal capacity, independent living, 13 institutionalisation, both in terms of government donors and even more so private donors are still 14 reinforcing the bad practices that are now clearly in violation of the convention. So we have our 15 work cut out for us in terms of educating donors as well as implementers of these development 16 projects to think about what specific provisions of the convention should inform the way they are 17 doing their work on the ground and I'm extremely concerned about how we're going to go about 18 doing that, thank you. 19 CHAIR: Any questions? Okay I'm going to slot myself in because I am on the agenda to speak 20 about this so I have to chair myself now. 21 22 But I'm going to be very short because I really want to hear what Yen Vo has to say and I'm not 23 going to duplicate everybody Janet and Nora said. 24 25 Just to give you a bit of a background with regard to my study, my PhD focused on Article 32 of 26 the Convention, and it looked at mainstreaming disability in development aid and the focus on 27 three donor agency, Ministry for foreign affairs in Finland, USAID and also AusAid. 28 29 I have just come to the very end and to the point of hopefully submitting it this summer, but I 30 thought I would share a few things that occurred to me, it has come from the research for few 31 sure thoughts around Article 32. 32 33 The first was around the process of change, we are all here speaking about president process of 34 change that the Convention has to bring. One of the things that became very clear through the Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 83 1 research was this process of change has to come from within the country itself. It has to be 2 ownership of it, most of the States have now ratified the Convention, but for many States who 3 are operating within a development context you are talking about little or no resources, possibly 4 no will, political will, and also maybe necessarily no disability movement that is able to hold the 5 State to account on this. 6 7 But this really is in terms of one of the priority areas where the focus needs to be, which is 8 looking at how development aid, development aid will never be tied, you cannot tie development 9 aid of the. But you can use development aid in a very useful way to build capacity of disabled 10 people in developing countries and one of the case studies I did in the research which is 11 disability rights fund, I don't know how many people here have heard of it, but disability rights 12 fund is a collaboration of donor agencies that have come together to look at how to provide and 13 channel funding to DPOs who can then bring about change in their own countries and one of the 14 issues around that and one of the issues I saw through the research was DPOs do not get funding. 15 DPOs cannot compete against mainstream as Janet has said, mainstream project implement teres 16 because you are talking about huge structural agencies that are able to compete for billions of 17 dollars and disabled people's organisations will never be able to do that. 18 19 So looking at the different mechanisms to channel funding that is not necessarily about services 20 and that's another important point that needs to be addressed in Article 32, we're talking about 21 international development programmes, talking about meeting basic needs of people with 22 disabilities, but we have to also go beyond that, the disability rights fund and different initiatives 23 like that are looking at not funding service provision, but funding the grass-roots local disability 24 organisation to hold their State to account on the accountability they have made to the 25 Convention and that's actually quite a unique and very positive process. 26 27 Now still it's very small funding and you can imagine if that was replicated on a much wider 28 level how much change it could possibly bring about. It's not necessarily adversarial, it's also 29 about how DPOs can work in partnership with local governments, raising awareness on the 30 Convention and also working in terms of solving the issues that they face. 31 32 So that's one aspect. So I think it really is about the process change has to come within the 33 country itself and development aid has a role to play within that. 34 Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 84 1 I think the reality is at the moment development aid is shrinking, OECD, the DAC report have 2 showed consistently over the past number of years that development aid from the major western 3 donors is decreasing due to austerity and different fiscal expenditure in donor countries. 4 5 So the possibilities of leveraging equal opportunity for people with disability just through 6 financial assistance is reducing, and that's something in terms of future, how to think about that. 7 Again it's back to the State, back to State-to-State co-operation and as Nora spoke about Article 8 32 during negotiations even though it was contentious about where responsibility of 9 implementation of the Convention lies one of the consensus that did come from it was there is 10 and needs to be State-to-State co-operation, that is north-to-north -- north-to-south, two-way 11 streets, not necessarily just from one perspective. 12 13 That's something we need to really think about in terms of Article 32, that focusing really 14 narrowly around development aid is not going to bring disability into a wider foreign policy 15 international co-operation issues. 16 17 With regard to Janet spoke about USAID and the processes that go on internally within the 18 agencies to recruit people with disabilities. One of the things, this is not just unique to disability 19 it has come through gender mainstreaming, we can no longer have business as usual with regard 20 to mainstreaming, mainstreaming and the way it works has to change 21 22 The criticism around gender main streaming focused around the fact it didn't give a voice to 23 people it was representing or purporting to bring about change and also didn't recognise diversity 24 and if we don't learn from those lessons we are going to continually respond to disability issues 25 in the category, we are not going to see the intersectionality of disability, women with disability, 26 children with disabilities, indigenous people with disability, people with HIV AIDS, this is about 27 moving disability to a broader understanding of how discrimination happens and particularly in a 28 development context, because that can be quite different in the context that we have here. 29 30 So in terms of mainstreaming there needs to be reconfiguration of that with regard to - I don't 31 think we can adopt what has been to date around the gender mainstreaming, we need to learn 32 from that. 33 34 We spoke a lot today about DPOs and disability organisations and I have been a disability Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 85 1 advocate for many years I have worked in the Irish and international movement. And I think 2 there is something about the disability movement needing to start talking the language of 3 development, I think Nora spoke about it the dichotomy between human rights and development. 4 If the disability community doesn't talk about development and have an input into development 5 we need to be able to be at the table to do that, whether that's the post 2015, whether it's PRSPs 6 whether it's developing anti poverty action plans we need to be there. We haven't been to date 7 there has been efforts but there needs now in terms of capacity building, holding States 8 accountable for human rights, we also need to look at the models of development and have our 9 say and have our commentary about political economies and learn from other groups, that we 10 can't just keep in our own specific disability rights aspect. 11 12 Then lastly, I think two things. First of all we have to realise development aid is hugely 13 political. Hugely political. There is -- I just don't think we can be naive about that, we have to 14 realise it's hugely political and disability advocates and people working in that area need top 15 understand that and need to understand how to navigate the political aspects of it, because aid is 16 political. So we really need to start thinking about it and I don't think we have been thinking 17 about it to date in respect of that. 18 19 At this think lastly, we are all here talking about the negative side effect, the future will be 20 bright, I hope, I think one of the things is again the criticism around mainstreaming is diversity, 21 if the disability community and disability advocates are not framing disability within an 22 inequality human rights perspective, we'll be left out from the negotiations and we'll be left out 23 from discussions. So we have to learn to talk about our issues in a much wider framework, 24 because that is where the trends are going now, the trends are going towards the wider 25 overarching issues of inequality, you will see that through all the consultations that have 26 happened around post 2015. If we are not bringing ourselves into that, that's a real role Article 27 32 can do in terms of international co-operation is looking at how to position disability within 28 that broader policy discussion and not just becoming an article which is about proving how aid is 29 spend around disability that's a narrow approach. 30 31 That's just my take on Article 32. I'm going to handover to Yen, I don't think anyone has a 32 specific question. 33 YEN VO: I have been here several days and I have learned a lot from the presentations and the 34 sharing of the speakers and I see our situations on the presentation, especially the presentations Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 86 1 of Elizabeth and sharing from participants from Mozambique and also I remember from the first 2 day we said that the Convention needs a powerful tool. 3 4 But it, itself does not bring about change. We do. And how can people with disability 5 participate in the whole process. Especially people with disability from the -- it is I want to 6 share with you the, some information about disability in Vietnam and our work in Vietnam and 7 also the importance of international co-operation to the effort. 8 9 So as I said in Vietnam we have now around 13 million people with disabilities and 40% cannot 10 know how to read and write. And only 17% graduated from high school and less than 0.1% can 11 go to college or university. Only 30% can have some jobs the others have to rely on their 12 family’s members or some religious organisations for income. 13 14 Also in Vietnam we recently have law based on some concern for the Convention. But you see 15 -- we see that most of the government agencies and also our development projects, they are still 16 based on the charity model, not medical model but still charity model. And we have -- we have 17 a national coordinating couple on disabilities, but it's very quick, because it is under the 18 department within the Ministry of social affairs, so they are not in a strong position to coordinate 19 all the different Ministries and organisations on disability in is Vietnam. 20 21 We also have a disability federation, but similar to Chinese federation shared by Victoria Lee 22 earlier, it's not a real representative of people with disabilities in our country. And based on that 23 I started my organisation 7 years ago and our mandate is to raise awareness on disability issues 24 in Vietnam, not only for the public members but also people with disabilities themselves so they 25 can realise their value, capacity and ability, and also we try to provide all the information related 26 to law or policy related to disability so they can know their rights. 27 28 But knowing rights are not enough. So we have another role to help them to build capacity so 29 they can be strong leaders or something to realise their rights. 30 31 We focus on two directions. We help people with disabilities to empower themselves and we 32 use successful cases to use the media advocacy, we cooperate with the media so we can convey 33 our message to the public members and to the media, we convey our message to the government. 34 Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 87 1 After 7 years my organisation is considered as the leading organisation in Vietnam on disability 2 field and we are considered the founder of disability field in Vietnam. 3 4 To fulfil this objective and have this achievement we could not do that without funding from 5 different international organisations. Like for the start of my organisation we got a grant from 6 Four Foundation and after four years we can say that the best grantee that Four Foundation ever 7 had in Vietnam. After that we get another funding for our pilot project on independent living, so 8 that we could help people with severe disabilities and promote independent living services in 9 Vietnam. And also we get the funding for Irish Aid for our inclusive employment projects. 10 11 Also another small grant from AusAid for some training to are parent of autism and 12 developments for disabilities and another grant for Atlantic Philanthropies so that we can recruit 13 potential leaders to help them become strong leader of the future. 14 15 So we have not ratified the Convention but our organisation's efforts in preparing the future 16 leaders for the implementation of the Convention later. 17 18 I have to say that the capacity that many speakers mentioned is very important in Vietnam and 19 for people with disabilities in Vietnam. So I appreciate all the opportunity, like this, so that I can 20 learn from the experience and I can increase my knowledge on the disability field, and also the 21 scholarship from AusAid and Irish Aid that gave the opportunity for the youth with disabilities 22 in my country so they can be future experts on disabilities. 23 24 And that's all I want to share. But I have the clips here, I want to share with you so that you can 25 see all the challenges faced by people with disabilities in my country and also what we are doing 26 in Vietnam. So can you please -- we'll have some captions so I think here we have some 27 participants with visual impairment so if the person next to the participant can you please read 28 the captions for them. Thank you. 29 30 "Neither the polio that struck her or obstacles growing up with a disability in Vietnam could 31 keep her down, unlike most people with disabilities Yen finished school, got a masters degree 32 abroad and when she was told she was still not fit for work she set out on her own path. 33 34 I think with my head not with my legs she cried. Since that day Yen has been the forefront of Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 88 1 the human rights movement for people with disabilities in Vietnam. Providing social services 2 for people with disabilities is not a gift, it's their right, it's the law. 3 4 In 2005 Yen opened DRD centre for disability research and development. But she had very 5 different idea about people with disabilities than other associations. 6 7 Today DRD has over 500 beneficiaries and welcomes new people all the time. We provide a 8 scholarship and also independent living service for people with severe disabilities in our project 9 and also... 10 11 The most difficult thing for people with disabilities is getting around. Very few places or means 12 transport are accessible so members of DRD are redesigning the city the way they see fit. So we 13 organised the accessible campaign in Ho Chi Min city. 14 15 Before leaving each participant puts his or her idea of a better life on the dream tree. 16 17 This is the result, the campaign, this dream of an accessible city, accessible for all society. And 18 also we say that life is beautiful, that is something that as the Professor mentioned from the first 19 day, that very easy that people with disabilities take views by the media as being helpless, so 20 that's why we call it life is beautiful and they come to us and they can see people with disabilities 21 can have joy, they can enjoy life and they can laugh and share their experience with others. 22 23 And we have a clubhouse here where we have people with disability to come to work with us 24 and the network and NGOs on children and women and also famous actors and actresses and 25 singers will come to our clubhouse to share with people with disabilities." 26 27 Right now we're considered a strong advocate on disabilities and when the media want input for 28 some disability related project they come to my organisation, to ask for our opinion on that and I 29 can say that we can not achieve this without the international funding, because we get nothing 30 from the government. And what is also creating sustainability, right now we have successfully 31 established a network of more than 35 disabled people's organisations in the south of Vietnam, a 32 kind of new voice of people with disabilities. But we have to risk to sustain the activities of 33 these network because organisations close their offers in Vietnam and they are the main funders 34 and now we do not have funding for these networks. And also the other projects -- Vietnam now Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 89 1 announced that we'll -- the government is not ready to support the local NGOs like my 2 organisation. And also the people in Vietnam they still have incredible charity to help people, 3 it's not like social responsibility who consider the organisation like my organisation as being the 4 partner to their community project, so we face this to sustain our activities. And thank you for 5 listening. 6 CHAIR: We'll take five minutes if anybody has any questions for Yen, I think she's shown us 7 what it is in practice and the different difficulties and successes that can happen from good donor 8 aid and it can actually be used positively. Has anybody any questions for Yen. 9 SPEAKER: I don't have a question, but I have a comment, I was really moved by the 10 documentary. A thought came to my mind I also teach international economic law, I would like 11 to hear if there are efforts on of the part of IMF to link with the issues involved we are talking 12 about living with disability, there cannot be a more thoughtful organisation than world bank 13 initiative, because as Janet was saying disability community must raise it's voice, but in the 14 developing countries disability community has hardly any voice, so what these organisations can 15 do? What are they doing? 16 YEN VO: Even as my organisation is considered the leading organisation, it's not easy for us to 17 participate in the government workshop on disabilities, so always under the influence of the 18 international organisations, we are invited as a speaker. So without it that influence is not easy 19 for us to join in government workshops to raise our voice. So that's why we always approach the 20 international donors and we express our need that he if they provide international assistance or 21 add to our country, they should inform some provision to require them to make the environment 22 more accessible. 23 24 Like recently in Ho Chi Min city we got the funding for our metro and we expressed our wish 25 for a more accessible system in the city. 26 27 Also on the funding like this opportunity, based on the funding, we can enjoy the international 28 funding. 29 CHAIR: I think Prof Groce would like to respond. 30 PROF GROCE: The question, like the IMF and World Bank, like lots of these things, the things 31 go up and down IMF is not much historically on disability at least in living memory, they haven't 32 done much. The World Bank is a bit different, it was very active about 10 years ago when Judy 33 Uehman was head of the bank, she was a leading American disability activist, and started to get 34 a lot of traction and had a couple of very big meetings, and she brought in people like the head of Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 90 1 the World Bank to speak on disability issues. And then for various reasons after she left the 2 bank it came much quieter. But what she was trying to do and what has yet to be done is to take 3 the small programmes they have within the disability component of the bank and put them into 4 the mainstream World Bank projects, which has not been done. 5 6 And hopefully they will do more in future, but it was, it's been kind of unfortunate in the past 7 few years that there respect hasn't been much of a disability beyond a small amount of work 8 being done specifically under the headline of disability within the bank, so what's really needed 9 is to mainstream all of that attention into major bank programmes and policies, the Africa 10 division, the Asia division, they are really big projects that need to be consistently disability 11 inclusive and thus far they just haven't been. 12 13 This is something where a dialogue from the disability community, people who are really at the 14 heart of the bank, that should be going on now. 15 SPEAKER: I also would like to hear WTO, World Trade Organisation if anything is going on? 16 PROF GROCE: No I think dead in the water comes to mind, I have never heard anything out of 17 the WTO, there might be something but I myself have not heard anything from the WTO. 18 CHAIR: Okay we have two people and then we are taking the coffee break so over here. 19 SPEAKER: Just to say to Nora that I really enjoyed your presentation because I think that you 20 drew in so many of the very real complexities in terms of international development, especially 21 where we have bilaterals with governments that are not very good at sharing with civil society. 22 23 And then Sanjay if I can respond to that, both the IMF and the World Bank in terms of their aid 24 conditionality structures, there certainly is room to build disability inclusion into that aid 25 conditionality the way that it works. But my understanding is that there is generally a broader 26 debate about how human rights should feature in aid conditionality at both those institutions and 27 obviously disability is also implicated in that broader debate, that's my understanding around it. 28 PROF GROCE: I agree with what you said I think it's important to note this is not exactly new. 29 They have put gender in previously and while gender is not a one-to-one correlation with 30 disability it's close enough so that if the World Bank, it wouldn't think of putting in all 31 programme naught without dealing with gender, they certainly could 20 years ago it was easy 32 now they wouldn't do it. And that may be a goal that we should be having as well. 33 CHAIR: Okay thank you everyone. I'd like to thank our speakers, Janet, Yen and Nora, we'll 34 have the coffee now before the last session. Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 91 1 2 Coffee Break 3 4 CHAIR: We'll make a start back, I'll just introduce the final speaker this is a colleague of mine 5 fellow PhD student Charles O'Mahony, he joined the school of law in September 2012 as a 6 lecturer in public law, before that he worked in Amnesty International as legal officer on mental 7 health campaigns and also completing a PhD focusing on mental health problems in contact with 8 criminal justice systems, so I'll handover to Charles. He is primed to finish for five or a little 9 after and we'll take questions and answers. 10 MR O'MAHONY: Thanks. I have lots of deficits in terms of being a speaker, one is I speak too 11 fast. And the stenographer told me if I speak too fast she'll violate my right to be free from 12 inhuman treatment and punishment! So please, if I speak too fast let me know, throw something 13 at me, I'll appreciate it! 14 15 So this is the overview of the presentation, the structure of the presentation, really what I'm 16 looking at is the source of international human right law that are relevant in relation to 17 prohibiting torture or inhumane, degrading treatment or punishment, so looking at the source of 18 law around that and looking at the architecture for the investigation and also the prevention of 19 torture. 20 21 There is a number of specialised bodies that have a mandate in that regard I'll talk through those 22 briefly at the start and then looking at the challenges for those bodies that have that role in 23 preventing torture or inhuman and degrading treatment or punishment and then look at, beyond 24 the challenges and looking at the case study I was asked to do the European context, the Council 25 of Europe, in particular the European Court of Human Rights and how they have interpreted 26 Article 3 in cases taken by persons with disabilities alleging violation of rights under Article 3 27 which is the right to be free from torture or inhuman and degrading treatment or punishment. 28 29 So these are the sources of law and there is actually quite a lot of them, one of the things that's 30 very clear is that the whole notion of human dignity comes through all of these and actually there 31 is a really interesting article written by a Professor in Colombia, Prof Samuel Moyne, and he 32 talked about the origins of the concept of human dignity or individual dignity and he traces that 33 back to 1937 Irish constitution in a paper he entitled "Did the Irish Save Civilisation? The Secret 34 History of Constitutional Dignity" and he suggests that the inclusion in the preamble of the Irish Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 92 constitution of the notion of human dignity is our gift to the world. 2 3 But that whole concept of human dignity is very much a core part, underlying theme of the 4 rhetoric of rights in this area. 5 6 Article 7 of the international covenant on civil and political rights provides that no-one shall be 7 subjected to torture or to cruel, inhuman or degrading treatment or punishment, in particular 8 no-one shall be subjected without his free concept to medical or scientific experimentation. 9 10 And the prohibition on ill treatment and torture is one of the most developed areas within the 11 jurisprudence of the UN human rights committee, it's important to note there isn't something that 12 you can opt in or opt out of. There is no progressive realisation, it's never okay to torture. 13 14 The prohibition on torture is a rule of general international law and has been broadly accepted as 15 one of the legal terms "jus cogence" and that's a rule or principle in international law that is so 16 fundamental that it binds all States. 17 18 So the approach of human rights committee in relation to torture and inhuman and degrading 19 treatment or punishment is they don't separate out the two and there is a different story when we 20 look at the European Court of Human Rights, to their approach to that. They haven't demarcated 21 between those two in their jurisprudence and if you look actually at article 7 of the international 22 covenant on civil and political rights, what you will see is that it's very much linked to article 23 10.1 as well. 24 25 I will have a paper to make available to you after the presentation where it discusses that. 26 27 What's important in terms of the UN Disability Convention is Article 15, so there is actually 28 explicit provision for freedom from torture or cruel, inhuman or degrading treatment within the 29 UN Disability Convention and that's provided for. And even though we have, there is lots of 30 different sources of international human rights law, the ones I referred to and many others, which 31 expressedly acknowledge the right to be free from torture or inhuman degrading treatment and 32 punishment, despite that, there was a failure within that mainstream human rights practice as 33 Janet Lord said to account for violence and if you're look fog are a really good article that 34 discusses the origins of Article 15 of the UN Disability Convention Janet's article is the article to Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 93 read, it's a great article. 2 3 If you look at discourse around Article 15 what you will see is that it's sparse in terms of adding 4 anything new or fleshing out the whole issue of freedom from torture or cruel inhuman and 5 degrading treatment as it applies to persons with disabilities, but I suppose what it does add is 6 quite significant, and what it adds is actually that that whole paradigm shift in thinking in terms 7 of the guiding principles in Article 3 of the Convention, that they are very much brought to bear 8 in this area, so particularly in institutional settings, that you have to have regard to those 9 principles about independence, recognition of caps fee, those things are really important and 10 that's really what the CRPD adds to this area, even though reading the actual text here you 11 wouldn't think it adds very much really in terms of what it says in the text of it. 12 13 If you read through the drafting of this of Article 15, you will see it was quite contentious at the 14 drafting stage in terms of the whole issue of forced treatment of people with mental health 15 problems. And that's really interesting you can read about that in Janet's article. 16 17 What I should say as well is that Article 15 is very much related to other articles, so Article 12 18 which we've heard a lot about this week, also Article 14, liberty rights, particularly in the context 19 of people who are detained because they are consider to pose a risk to themselves or others on 20 the base of mental health problem. And the Office of the High Commissioner for Human Rights 21 in 2009 made a number of really challenging statements in relation to what Article 12 means. 22 23 One of the things that they said was that Article 12 requires the abolition of the insanity defence 24 and other similar defences in domestic law, that's a challenging statement, that State parties 25 wouldn't necessarily have thought signing up to the Convention, that they would have had to get 26 rid of something like the insanity defence, so it's controversial. 27 28 Similarly the interpretation of office high Commissioner for Human Rights and subsequently the 29 CRPD committee that Article 14 requires abolition of mental health law as we know them is 30 controversial so that's a point to bear in mind as well so while Article 15 is very much connected 31 to these things there are difficulties in expanding out the right. 32 33 In terms of a mandate in respect of torture, inhuman and degrading treatment there is actually 34 quite a lot in terms of different actors that are relevant here, the committee on the rights of Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 94 1 persons with disabilities clearly have a mandate in relation to this area, particularly now that the 2 committee has been set up and countries have ratified not only the Convention, but also the 3 optional protocol and that there is scope for people who are, persons with disabilities in 4 institutions or elsewhere who have their right to be free from torture or inhuman and degrading 5 treatment or punishment has been violated they can take an individual complaint to the CRPD 6 committee that's important to bear in mind. 7 8 What also is important to bear in mind is that you have the Convention against torture and you 9 have the committee, UN committee on Convention of torture have an important role, they are a 10 body of independent experts who look at how State parties implement the Convention against 11 torture and they have a number of ways of working, through the normal way like a CRPD 12 committee and they have a series, a reporting system where State parties report and then the 13 committee responds to that, periodically, the concluding observations, that's quite an important 14 forum if there are violations of the rights of persons with disabilities in terms, coming from the 15 scope of that Convention, that's important to bear in mind as well. 16 17 There is also the optional protocol to the CAT Convention, that's very important as well. And 18 that created the subcommittee on the prevention of torture and that Convention that optional 19 protocol came into force in 2006 and this is a really important thing in terms of engaging with it, 20 because the subcommittee on the prevention of torture has a mandate to visit places where 21 persons are detained, including persons with disabilities, at the national level and they have a 22 role in relation to preventing torture and that applies to the institutional settings where persons 23 are disabilities are often detained. 24 25 There also is a requirement under the optional protocol at the national level to create independent 26 national prevention mechanisms so for example in Ireland our national mechanisms would be to 27 approve centres under the mental health legislation, the Mental Health Commission has an 28 inspectorate, the team go and inspect on a periodic and ongoing places, places of detention in 29 accordance with the Mental Health Act. 30 31 I'm going too fast! In Ireland we have deficits as well so we don't have any inspection and we 32 have no mandatory inspection of residential services for persons with intellectual disabilities for 33 example and the Health Information and Quality Authority which was set up to investigate 34 nursing homes much in the same way as the Care and Quality Commission in England and Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 95 1 Wales, they don't have a mandate in relation to residential services for persons with intellectual 2 disabilities because the government haven't provided money to ensure that the standards that 3 have been come up with HIQA have been implemented so we are clearly fall foul of that have 4 but apparently the money will be made available in Ireland so the national preventative 5 mechanism will kick in. 6 7 Then you also have the UN special rapporteur on torture, this is actually a really valuable 8 mechanism in the international architecture in preventing torture or inhuman degrading treatment 9 and abuse, the special rapporteur isn't as constricted at the committee under CAT because the 10 special rapporteur can act in circumstances where there is an allegation of torture or inhuman 11 degrading treatment or punishment, even where a country hasn't ratified the CAT Convention, so 12 there is a number of ways of operating. 13 14 Actually it's been really interesting to see the last two special rapporteurs in terms of taking 15 mainstream, within their work, looking at the rights of persons with disabilities and the link 16 between reasonable accommodation and ill treatment was recognised in 2008 by the previous 17 special rapporteur who was at that time Manfred Novak who actually observed that the lack of 18 reasonable accommodation in detention facilities may increase the risk of exposure to violence, 19 neglect and I will treatment. There was much equipment the later rapporteur produced a report 20 that's really heralded or warmly welcomed by a lot of DPOs and non-government organisations 21 in terms of his statements in relation to the CRPD and mainstreaming that discourse in his own 22 work. 23 24 He said laws cannot provide doctors with a power to forcibly administer treatment, importantly 25 he also said that restraint and is he collusion should be immediately prohibits and that includes 26 restraint and seclusion in mental and psychiatric hospitals and. So very significant statements 27 from the special rapporteur, who really has taken up the mantle in light of UNCRPD. 28 29 That actually changed in terms of the strong statements coming from DPOs, organisations like 30 MDAC engaging with the special rapporteur in terms of making these types of statements. 31 32 Then we have the European system, which is what I'm really going to focus on for the purpose of 33 this presentation. And you have the Council of Europe, are you all familiar with the Council of 34 Europe? You have all heard of the Council of Europe? It's 47 Member States and the European Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 96 1 Court of Human Rights is based within the Council of Europe. And that's very important so you 2 have the European Convention of Human Rights which came out of World War II, those human 3 rights abuses and really important in terms of protecting civil and political rights more so than 4 economic, social and cultural rights, it's very much based on civil and political rights. 5 6 Then you also have this really important Convention on the prohibition of torture, that's really 7 important. That came out in the 80s that Convention and commenced in the late 80s and 8 provides for this committee, the European committee on prevention of torture and they travel 9 throughout Europe inspecting any place of detention. So places like prisons, police cells, but 10 also psychiatric institutions and social care homes. So it's a really useful mechanism for 11 investigating allegations of exploitation and abuse or torture, torture in particular, the mandate is 12 torture. And really the purpose is to compliment the work of the European Court of Human 13 Rights in relation to Article 3, that's really important. 14 15 So as of last Monday the European committee on prevention of torture made 342 State visits, 16 205 were periodic visits and the rest were ad hoc, so not really announced. And the way it works 17 is actually a good way of ensuring if there are any problems or issues that States live up to their 18 obligations under international human rights law. The way it works is that if the State consents 19 and they generally more often than not agree, the report that's issued by the committee on the 20 prevention of torture is published and the response of the government to the report is published 21 so it's a valuable mechanism for looking behind the walls of institutions, including psychiatric 22 hospitals and social care centres throughout Europe. 23 24 MDAC in 2012 they had a seminar with the committee for prevention of torture and really the 25 purpose of that was that in 2012 what, 2011-12 what the committee on prevention of torture 26 were doing were was they were updating the standards and the interesting thing is that the 27 committee on prevention of torture, don't actually publish, they have very detailed standards but 28 don't actually publish them, which is quite extraordinary if you think about it. 29 30 They publish an abridged shorter version on the website and MDAC saw this as an opportunity 31 to try and influence the way in which the committee did its work. And they were trying to 32 embed within their new revised standards a lot of those principles that are contained in the UN 33 Convention on rights of persons with disabilities. So MDAC had a seminar and asked a number 34 of people to come and present papers, Gerard wasn't able to go so I went, I wrote a paper on the Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 97 need to embed the right to legal capacity and Article 19 of this the CRPD within their standards. 2 3 And there were a number of other papers written Anna Lawson on the need for reasonable 4 accommodation in institutional settings. 5 6 So what was interesting was that version published on the website did have some tacit vague at 7 the end of it reference to the move to the community, they didn't go as far as MDAC were asking 8 to really embed in the CRPD within their standards for users of services. 9 10 What's interesting if you look at the commentary around the CRPD is that there are a number of 11 commentators saying look the CRPD requires the committee on the prevention of torture to be 12 more robust in terms of looking at psychiatric hospitals and they should develop standards, they 13 should develop standards in relation to that, so the committee on the prevention of torture for 14 example should have similar standards like for example the UN minimum standards rules in 15 relation to prisoners. So specific standards about what an institution should be, size of rooms 16 and that sort of thing. 17 18 I think that, we need to be cautious about that, because if you actually are requiring standards for 19 institutions you are giving mixed messages to bodies like the committee on prevention of torture. 20 It legitimises institutionalisation, which is questionable and at odds with the philosophy and 21 rights in the UN Convention. 22 23 Dragana yesterday referred to that, in terms of know unintended consequences from the 24 committee's report to Serbia and we need to be cautious in relation to that. 25 26 And I think if you look at the work of a lot of these bodies the SBT, the body under the optional 27 protocol, I think there is a disconnection in terms of the standards with the philosophy and the 28 UN Disability Convention. There is a real need I this that I those inspection standards engage 29 with the Convention, that's very important. I this I that connection in terms of what happens 30 when people are stripped of their legal capacity, what happens in those set of circumstances 31 hasn't really been met in those standards because actually the loss of legal capacity brings you 32 into these institutions all settings and if you look at the report from 2011 you will see clearly 33 persons in institutions are more vulnerable to sexual violence and to inhuman and degrading 34 treatment and torture, so that's important that those standards that the committee on prevention of Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 98 1 torture, that they embed the general principles and also the right to live in the community within 2 their standards. 3 4 So what I'll do now is talk about some of the cases that have come before the European Court of 5 Human Rights. I'm not saying that Europe is really great when it comes to torture or inhuman 6 and degrading treatment in terms of prohibiting it actually Europe has a sordid history in relation 7 to torture. 8 9 In 1215 Pope innocent the 3rd he was the Pope, a really influential Pope, if you look up here, he 10 had an action figure for Pope innocent the 3rd he was a really important Pope. And what he did 11 was he abolished trial by ordeal, does anybody know what trial by ordeal is? 12 13 Basically it means where there is, somebody is accused I accuse Gerard of stealing my cattle but 14 he did it at nighttime so nobody could see him do it. We need to resolve that because it's going 15 to be a feud, and basically Gerard is arrested and Gerard is asked to put his hand in a pot of 16 water, this all happened in Europe up to the 12th century and God would intercede on Gerard's 17 behalf, he wouldn't scald his hand if he hadn't stole my cattle. 18 19 So this happened up until the 12th century and Pope Innocent the 3rd decided this was unlawful, 20 because God was supposed to intercede on Gerard's behalf to prove his innocence. At the fourth 21 Lateran Council in 1215 what happened was trial by ordeal and trial by battle went by the 22 wayside and you had something, you needed to replace it. In England you had trial by jury, that 23 was introduced and in Europe we had judicially administered torture, that was the way of 24 resolving the disputes from the 12th century onwards in mainland Europe. So you tortured 25 people, but actually it was quite sophisticated, there were safeguards in relation to it, you 26 corroborated the evidence, you made sure what people confessed to corresponded with facts. 27 28 So we have actually a sordid history in Europe in relation to torture, it's very much part of the 29 legal system and developed the rules of evidence still in place. But that is no longer the case and 30 Article 3 of the European Convention on Human Rights provides a prohibition on torture so 31 no-one shall be subject to torture or to inhuman or degrading treatment or punishment, that's 32 what Article 3 says. There is actually a really rich jurisprudence case law from the European 33 Court of Human Rights in relation to this. 34 Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 99 1 What's really interesting about the European Court of Human Rights case law is that they have 2 demarcated the parameters of torture and inhuman or degrading treatment or punishment. So in 3 the case law they have taken a different aye approach to the human rights commission in relation 4 to how they interpret this prohibition on torture. And this is illustrated by the case of Ireland 5 versus the UK. 6 7 And this is a really interesting case, it's a case coming out of the Northern Ireland when 8 internment without trial was introduced and basically what happened was that there was 9 terrorism and there was a need to respond to terrorism and in the UK how they responded to that 10 was internment without trial. 11 12 So that was deprivation of liberty without any procedural safeguards and they introduced a very 13 questionable interrogation technique, they were called the five techniques, involving 14 disorientation, hooding suspects, sucks to noise, deprivation of sleep and deprivation of food and 15 drink. 16 17 And this is the first case that one State took another State before an international human rights 18 tribunal and Ireland took the UK before the European court of human rights, the European 19 Commission as it was called then. Alleging that there had been a violation of a number of rights 20 under the UN Convention including Article 3. 21 22 Quite controversially in terms of the judgment the European Court of Human Rights said well 23 look actually these five techniques don't quite amount to torture, but what they do amount to is 24 inhuman degrading treatment and punishment, so that demarcation was brought. 25 26 So the important point here is that really whether or not there is a violation of the Convention, 27 Article 3 of the European Convention, it really is a question of severity of the treatment suffered 28 by the person. And that is very important in relation to persons with disabilities. Because 29 clearly a person with a disability might be at a greater disadvantage than a non-disabled person. 30 31 If you look at the case law then, I think the core point to look at is that the courts really haven't 32 teased out sufficiently the impact of a failure to provide reasonable accommodation to persons 33 with disabilities. That's really important. And they haven't really come to terms with what the 34 UN Convention on the rights of persons with disability says in terms of failure to provide Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 100 1 reasonable accommodation will amount to discrimination in and of itself, so a failure to provide 2 reasonable accommodation will be a violation in and of itself. 3 4 We have this case here of Stanev versus Bulgaria a very important case it was referred to a 5 couple of times throughout the course of the summer school. It was a case involved a man under 6 guardianship in Bulgaria, deprived of legal capacity and there were issues in relation to his right 7 to liberty and relation to fair procedures under Article 6 but also there were issues around Article 8 3 which is the right to be free from torture and inhuman degrading treatment and punishment. 9 10 And this is a quote from the facts of the case that was in the judgment it say it appears that the 11 food was insufficient and of poor quality. The building was inadequately heated and in winter 12 the applicant had to sleep in his coat. He was able to have a shower once a week in an 13 unhygienic and dilapidated bathroom. The toilets were in a bad state and access to them was 14 dangerous. In addition the home did not return clothes to the same people after they were 15 washed, which was likely to arouse a feeling of inferiority in the resident. 16 17 So actually under this set of circumstances, under the particular circumstances in which 18 Mr Stanev was detained the European Court of Human Rights said actually in terms of the 19 threshold in terms of the level of suffering he experienced it met that threshold not amounting to 20 torture but violation of the prohibition of inhuman and degrading treatment. That's an important 21 judgment. 22 23 But this case was decided last year, 2012 but the important thing to bear in mind is this care 24 home in which Mr Stanev was detained actually had a CPT visit back in 2003 so the European 25 committee for the prevention of torture had visited that care home back in 2003, so this was the 26 bed you had, this is the bed Mr Stanev would have had to sleep in and put his coat over it to 27 sleep there. This building was from the 1920s, it housed in the 1920s, the construction workers 28 in a hydro electric plant, it was in a very remote area and hard to get to when it froze over, that 29 was all detailed in the CPT visit. 30 31 What the committee on prevention of torture said this is not fit for purpose, you should close it 32 down and build a new institution with better facilities and the point I am making is, this was 33 decided, this report was decided before the UN disability convention was concluded in New 34 York, but actually the correct approach for the committee on prevention of torture I would argue Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 101 1 would be they should say under Article 19, you can't have institutional settings, you have to 2 move towards community settings and that it isn't a case of shutting down an institution and 3 creating a nicer one, which would be a horrible one in time, but you should, the standards should 4 clearly say that you have to support people to live in the community and you have to recognise 5 their legal capacity, that would be really important. 6 7 And actually then there might have been no need for Mr Stanev to take the case if he was 8 respected in this way. 9 10 There are a number of other cases decided by the European Court of Human Rights that are quite 11 important. Price versus the UK is a very interesting case I'm not sure if you are familiar where 12 it. This was a case that involved a woman who was committed to prison for contempt of court, it 13 wasn't a criminal matter, it was actually a debt matter she wasn't cooperating and she was sent to 14 jail. 15 16 It was late in the evening and she was sent it a prison cell and she couldn't get into the bed 17 because it was too high up off the ground and this lady had no limbs, so she got cold very 18 quickly and she needed to get into bed to get a good night sleep and she didn't have a blanket and 19 she kept complaining of the cold and she wasn't able to use the facilities in the prison cell. 20 21 So a document came and gave her a blanket and the following day she was transfer to a prison 22 the environment was better in terms of wider doors but she wasn't able to use the bathroom, this 23 was contested by the State, but she had to get assistance by male prison officers to help her use 24 the toilet which she found very degrading and she suffered, the bed again, she wasn't able to get 25 into the bed because it was too high even though the cell was supposedly accessible. 26 27 She took the case to the European Court of Human Rights alleging violation under Article 3 and 28 the court said actually yes you your rights were violated they said we don't believe there was any 29 deliberate attempt to actually inflict this humiliation upon you but they did the say that the way 30 in which things worked out, the way in which the environment wasn't accessible amount to a 31 violation of your rights. 32 33 There are a number of other cases that are really important here as well, Jasinskis versus Latvia 34 was an important case. That considered failure to making adjustments to a detainee with a Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 102 1 sensory disability. This guy was deaf and his father took the case because he died what 2 happened was he was unable to speak, he was deaf. He sustained a head injury and there was an 3 altercation and he was arrested, the police were aware he had a head injury, but they sent away 4 the ambulance and took him into custody and the only way he could communicate was with a 5 pen and paper. And they took the pen and paper, confiscated it, he wasn't able to communicate 6 with the police officers and he died a number of days later. 7 8 And considering those circumstances the court found there had been a violation of article 2 of 9 the right to life. What the European Court of Human Rights said the authorities decided to place 10 and detain a person with digs they should demonstrate special care and attention as core spend 11 for someone with those needs -- so they are not articulating it in a right to reasonable 12 accommodation but it effectively is in terms of Article 14 on the commission of human rights in 13 conjunction with other articles, it is discrimination. 14 15 Another case here, Keenan versus the UK this is a tragic case, one aspect was rights under 16 Article 3 and you had a guy who had a mental health problem who in terms of being punished 17 for a failure to comply with prison staff was placed in solitary confinement and under those set 18 of circumstances the European Court of Human Rights ruled this amount to a violation of Article 19 3 of the ECHR. 20 21 There is another case here that I like to mention Mouisel versus France from about ten years ago 22 but it actually is a case that involved a prisoner who was diagnosed with leukaemia, he had to go 23 from the prison to a treatment facility for chemotherapy on a regular basis, he kept going but the 24 protocol dictated that he was chained at all stages in terms, in line with protocol. 25 26 The question facing the court whether this actually treatment amount to a violation of Article 3, 27 the ECHR said yes it does amount to a violation of Article 3. 28 29 Similar issues arose in this case of Farbtuhs versus Latvia, this case was a man who was 84 years 30 of age, convicted of serious criminal offence and he was sentenced and began his prison 31 sentence, but he was described in the evidence, if you read the judgment of the court he was 32 described as being virtually paralysed and he had a number of other health issues, so during the 33 daytime when there was health officials he was being dealt with in the health services within the 34 prison. And what happened was that he was very reliant on the people working in health Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 103 services to meet his care and health needs. 2 3 But once those people weren't working he depended on the kindness of fellow inmates to provide 4 care to him. And the question before the court was whether this amounted to a violation of 5 Article 3 and the European Court of Human Rights said yes this does amount to a violation of 6 the man's rights under Article 3. 7 8 So what do these cases tell us? I suppose that's the question we're trying to answer. And I think 9 what it tells me from reading them is that the impact, there is an impact, quite a clear impact 10 when we fail to reasonably accommodate a person in the institutional setting, and that the built 11 environment and policies and procedures can have a disproportionate impact on persons with 12 disabilities and that it's really essential there is flexibility in adapting practices and policies and 13 procedures to the particular circumstances of the persons involved. 14 15 And in line with Article 8 of CRPD there is a real need or awareness raising and training of 16 prison staff and that information has to be provided in an accessible format regarding 17 complaints, so information has to be provided in an accessible way. 18 19 And what those cases also tell us, there are certain circumstances where people are being 20 detained, particularly in prison settings where the nature of their disability, the impact of 21 imprisonment and deprivation of liberty will mean that they will need to be released from prison 22 and that really will have to be decided? 23 24 What I would say also is that reading those cases it's very clear and very often we try to be 25 optimistic when we read cases coming out of the European Court of Human Rights over the last 26 number of years, where they have referred to the UN Convention on the Rights of Persons with 27 Disabilities in particular the Glor case was very positive in terms of what the European Court of 28 Human Rights said in terms of evolving the understanding of disability. 29 30 But I think that hasn't really translated in the cases, Camilla talked about that yesterday in 31 relation to the Stanev case and in relation to Article 8 and that hasn't happened. And it's very 32 clear as well that the thinking around legal capacity hasn't happened and what behoves us in 33 terms of any litigation that's coming before the courts, to continue to make those arguments 34 around UN Disability Convention and develop the rights like Article 3 in line with general Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 104 principles outlined in the CRPD. 2 3 So I'll conclude then and have time for questions and answers. 4 5 The thing to bear in mind is that there is a wealth of international human rights law deal with the 6 right to be free from torture and inhuman, degrading treatment and punishment. In addition 7 there is a number of monitoring bodies at national, regional and international level that have a 8 mandate in investigating and prevent torture and inhuman degrading treatment and punishment. 9 10 Even though we have this developed framework there really is an opportunity to embed the 11 principles within the CRPD where in that. I think that would be very beneficial in terms of 12 developing the jurisprudence but also in terms of the monitoring bodies, that we all engage with 13 them and try to get them to re orientate their standards in respect of facilities. 14 15 What's important as well is where you don't have disability specific committees, so for example 16 if you look at the subcommittee on the prevention of torture under CAT you'll see the vast 17 majority of place that is they inspect are actually places where they will traditionally have been 18 inspected, so for example prisons, police custody cells, perhaps psychiatric hospitals to a lesser 19 extent and social care homes they don't really go to. So there is a real need to put pressure on 20 bodies like committee for prevention of torture and the subcommittee under CAT to go to 21 psychiatric hospitals and go to social care homes, and what's really important as part of that is 22 that there has to be sufficient expertise on the committee and that's really important. That you 23 have persons with disabilities on the inspection teams because persons with disabilities are going 24 to be more comfortable going to psychiatric hospitals they can push to committee to visit more 25 psychiatric hospitals and social care homes. And in some of the literature coming out, 26 particularly the subcommittee on prevention of torture it's clear they aren't visiting, they are more 27 comfortable visiting prisons and police custody. So that's really important. 28 29 But also that they have the expertise and core philosophy in the Convention about having 30 nothing about us without us that there is sufficient representation of persons with disability 31 within the mainstream framework for investigation and prevention. 32 33 So civil society is really important there, and the connection hasn't been sufficiently or 34 meaningfully teased out in the judgment in the ECHR, so there is a need to actually argue the Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 105 1 principles within the CRPD and develop the jurisprudence. So I'll stop talking and open up for 2 question, I'm very much aware that there are people with more expertise than I have in the room, 3 that have worked in this area here, thank you. 4 CHAIR: Thank you Charles so okay. We'll start on this side. 5 PROF BICKENBACH: Let me start off, great presentation and fabulous work, no doubt about 6 it, very engaging, I'm engaged. And I'm going to make a comment that sounds a bit adversarial 7 or a bit aggressive but I don't want it to be. 8 9 I'm Jewish and for Jews to call something a holocaust and to call something else a holocaust say 10 killing lots of animals oh it's just a holocaust, is offensive. And the reason, for women to say 11 that oh I had to stand naked in front of all those women I was just raped, is offensive or should 12 be. Because these two words holocaust and rape are at an end of a spectrum, for which in the 13 case of the holocaust there is no comparison, it is as bad as it got, rape I'll leave that to the 14 feminists. 15 16 Torture I think is like that. So there is a problem, which is almost a semantic problem, but also a 17 political problem. And that is torture is torture and it's a horrible thing and no doubt at all that 18 there are instances of it in institutions as you point out. 19 20 Article 15 says, I think it may be a mistake now I think about it, freedom from torture or cruel 21 inhuman or degrading ... if that is read as torture or, then I think there is a problem. Because I 22 think cruel, inhuman degrading treatment or punishment are problems, to be sure. But they are 23 not torture. Or they need not be torture. There are no precisions here. 24 25 So I would just caution us not to, in a sense escalate meaning and to call every inhuman 26 degrading treatment torture, because we need torture, we need the word to specify things, which 27 are torture. And not everybody which is cruel and de meaning, however bad, is torture. Just a 28 comment. 29 MR O'MAHONY: I actually agree with you as well. 30 SPEAKER: Just a reaction here and then a comment as well or question. I can only agree with 31 Jerome and I think for instance that the Europe I am court of human rights is not as lean as far as 32 the definition of torture is concerned. So there are differences in the interpretation which I'm 33 sure you know, sometimes it's criticised by people who want more progress, but indeed then we 34 lose the core and substance aspects of the notion of torture. Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 106 1 2 But I just want to say and with Camilla, actually the whole problem is institutionalisation. There 3 are other cases now before the European Court of Human Rights, a case where somebody died, 4 was found dead in an institution. There is the Fargas case where somebody -- and the focus is 5 really on Article 3 because the Convention, the European Convention there is quite clear it's, 6 there is a lack of focus on Article 8 and community living, although it is very, very much to what 7 is happening here. 8 MR O'MAHONY: I totally agree, that's why the judgment in Stanev was so disappointing in 9 relation to Article 8, I think the CPT have a big role to play in embedding, being very clear in 10 terms of the need to move away from institutional care and provide services and respect people's 11 capacity and community living. 12 SPEAKER: Thank you very much on your presentation. I think my question is in relation 13 interaction between legal capacity and the criminal justice system. Because it's a heavy and 14 weighty matter so what happens when for example persons with psychosocial disability commit 15 crimes, especially capital offences, then do we proceed in full light of Article 12 and assume 16 criminal responsibility, that's the first one. 17 18 The second is in terms of I know you have done a lot of work around mental health, so what 19 would be your opinion in terms of how effective and useful those mental health rules are or do 20 we legislate on general health law and deal with issues of discrimination maybe on disability law 21 or general discrimination laws in the country? 22 MR O'MAHONY: Your first question around the office of the High Commission of Human 23 Rights said in 2009, in a surprising report the Office of the High Commissioner for Human 24 Rights stated Article 12, recognition of legal capacity, equality before the law, requires State 25 parties to the Convention to abolish the insanity defence or other similar defences in national law 26 and replace them with disability neutral laws. 27 28 That came out of left field, certainly if you read through the drafting history of Article 12 you 29 wouldn't have got that impression in terms of that's what the requirement of Article 12 would be 30 that you have to abolish the insanity defence. 31 32 What really strikes me from that is that there is a lot of silence around it actually. There is a lot 33 of Law Reform processes that I am wear of throughout the common law world, in Northern 34 Ireland, in Ireland here itself, in England and Wales and Scotland and where they are actually Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 1 reviewing the law, indeed also in Australia, New South Wales for example where they are 2 reviewing the law on insanity and those type of defences in criminal law. 107 3 4 And whether it's cursory references to Article 12 or to the UN Disability Convention in general, 5 there is no actual reference to the need to abolish laws so it's actually a very narrow reframing of 6 the doctrine in terms of what it involves. 7 8 So there isn't actually, the statements haven't propelled any Law Reform movement towards 9 abolition, of course there has been abolition of the insanity defence in other places, particularly 10 the US after the Hinckley case, the controversy in the 1970s but that wasn't predicated on the 11 same ideas. 12 13 It's very problematic in that the conclusion of the need to abolish and replace hasn't been teased 14 out or explained why or the rationale behind it. I'm not sure that answers the question, those are 15 some of my thoughts. 16 17 The second part of your question in relation to mental health laws and presumably abolition of 18 mental health laws in light of Article 14, that's really interesting as well. That's something that 19 we would have struggled I worked last year with Amnesty International as their legal officer on 20 the mental health campaign, certainly while very interesting it's very difficult to actually imagine 21 how you can move away from very developed mental health laws which were very much about 22 coercion, voluntary treatment, big issues there, so I think in terms of moving away from that 23 model, I think it will happen over time, it's very challenging and difficult, I think alternatives 24 need to be provided and maybe reassurances and work needs to be done to facilitate the way for 25 that. That's really important. 26 27 The other part of that is the move towards coercion in the community, compulsory treatment in 28 the community and we don't want that situation either where you simply move institutions more 29 so to the community. I'm not sure whether that answers your question. 30 CHAIR: Thanks. I have two questions here on my left and I think one on the right-hand side. 31 So if anybody else is thinking about any burning questions ask them now if not those are the last 32 three questions we'll finish up with. 33 SPEAKER: A quick comment, I was trying to understand Article 3, the dichotomy between 34 torture and inhuman and degrading treatment, I don't know if it's conceptual or it is semantic, Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 108 1 should we say that it is based on severity? How to distinguish whether a particular thing is 2 torture or it is cruel, inhuman or degrading treatment. 3 MR O'MAHONY: I think it depends on a case to case basis, I certainly share Jerome's concerns 4 on that basis as well. 5 DR QUINN: Thanks very much, sorry for sitting down here it's just when we design lecture 6 theatres for some weird reason they don't have electricity and I have to plug in the laptop. 7 8 Let me push the question my colleague was racing here, it's a bit unfair to push on you, I'm 9 putting it out there, because we are not -- public policy does not allow us to consent to our own 10 torture and it doesn't allow us to consent to degrading and inhuman treatment, but pretty much 11 everybody else we can consent to. 12 13 In a sense health law is premised on the assumption that the interventions of the medical 14 profession are ledge mated, only if that consent is forthcoming, which means our will and 15 preference has to be formed, expressed and communicated, and then the intervention occurs 16 strictly to the limit of what we should consent to. 17 18 But if you look at mental health law, it flips that premise completely over and says regardless of 19 concept, that can be set to one side, and certain interventions are mandated, required or at least 20 permitted by the law. 21 22 Now you could, one could entertain the proposition that number one, that contradiction condition 23 continue. Either one premise or the other holds true. I would certainly argue that the normal 24 health law premise holds true. For example if you have somebody on heart medication, who 25 refuses to take the medication or neglects to do so, there could be a danger to themselves and to 26 others, yet we do not force them to take their heart medication. 27 28 So I guess my question to put out there is number one, if we do see a harmonisation in terms of 29 underlying premise is does mental health law have a future at all? Ought it to exist? And 30 putting it even more poignantly is the very existence of mental health law itself in jeopardy? 31 MR O'MAHONY: Thanks Gerard for that. It's a really difficult question and there is no -- I 32 can't give you an answer. But they are huge issues and they challenge us. If you think actually 33 about the conflicts of law -- if you think about the way in which the European court of human 34 rights have built up a really, some would say progressive body of case law, providing procedural Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 109 1 safeguards around people that are deprived of their liberty on the basis that they pose a risk to 2 themselves or to others. 3 4 The case law that has been build up in terms of you have to have a true mental disorder of a 5 degree warranting detention and that there is other procedural safeguard around that, that there is 6 a review and that the mental health problem has to continue on into the future to merit 7 involuntary detention or loss of liberty. That's at odds with Article 14 and how do you get 8 around that. That's going to be difficult in term it is of alleviating fears of policy makers. 9 10 If you think last year the UK Supreme Court case where they had a woman who was a voluntary 11 patient who was released at her time when she was assessed initially the notes were made on her 12 record if she tries to leave she should be considered for holding powers for involuntary 13 detention, she was allowed go home and she ended her life. 14 15 The UK Supreme Court held last year that there was a violation of article 2 of the European 16 Convention on Human Rights, the right to life and that the State was under a positive obligation, 17 under an operational obligation under article 2 to prevent her from ending her life. So the 18 question for me is how you resolve those issues. 19 20 Yes there are inherent double standards in relation to the health system, in relation to mental 21 health system and then of course if you look at something like involuntary detention as some 22 kind of substituted decision-making where it is, where psychiatrists make judgment calls and 23 decisions for you, the question is how you map it on, it's difficult where it lies with policy 24 makers and deconstructing these problems. 25 DR QUINN: So I don't have the answer either, I intuit an answer but I don't have a reason 26 answer. My intuitive answer is mental health field will disappear in some years time. 27 28 I think here is one angle into it, if you take the controversy over the diagnostic manual or 29 whatever it's called that the American Psychiatric Association put out every few years, the recent 30 one, and the candid admission which is fascinating to me that only 3% of the diagnosis, this is 31 the psychiatric association itself admitting it, only 3% are directly referable back to an organic 32 disturbance in the brain or what not. 33 34 Sub text to me, mental health field is massively hyper over-medicalised. Then when you begin Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 110 1 to peel that away, you begin to say to yourself the only rationalisation that is might be out there 2 is that the individual somehow their will is distorted, that it's not Charles that's speaking, it's the 3 sickness that's speaking. Well if the sickness is actually such a minute fragment of the mental 4 health field then something else at play is not captured by medical exigencies versus autonomy, 5 so the debate is wrongly constructed and I think we are in a very interesting firmament and 6 transition period. If I were a betting man which I'm not I will say the mental health field won't 7 resemble what it is now in 20 years time. 8 CHAIR: I have been doing good with time don't let me down at the last moment. So a 9 gentleman here, a lady and Jerome. You can go last. 10 PROF BICKENBACH: I just want to address one thing. What they said was so far we only 11 have three organically-based rationale, we may have 100% organically-based, you look at the 12 N-I-M-H-N-U-S, the justification of what they are saying is the symptomatic collections are 13 badly defined because there is no genetic or biological substrate, but they can all have -- so your 14 reading of that controversy is we want to medicalise it all, that's the aim. And what doesn't get 15 medicated should be dropped off as anti social behaviour, but they are not saying only 3% can be 16 -- 3% so far has been... 17 CHAIR: I'm not chairing a debate between Gerard and Jerome! One statement Gerard and we're 18 moving. 19 DR QUINN: This is obviously for after three pints tonight. 20 I'm sure you've had the experience when you are with a politician and conversing with them, 21 they are distorting variables, what the hell is the self, how do we know we're accurately 22 transcribing the will and preference of the self toward third parties, so I just feel there is an awful 23 lot yet to be uncovered in the debate rationally. Then we have real developments such as the 24 dilemma you bring up with me, such as are all wills and preferences to be respected at all times, 25 which is a separate issue and maybe an alternative way of rationalising or salvaging some of the 26 mental health law. 27 SPEAKER: Actually I'm looking at your presentation regarding the developed jurisprudence in 28 context of European Court of Human Rights, it seems that the courts tend to make a distinction 29 between inhuman, degrading treatment and torture. This is problematic, particularly if you look 30 at Article 15, Article 15.1 uses the phrase in particular that no-one shall be subjected to medical 31 and scientific experimentation. And I think this is very problematic in terms of actually limiting 32 the scope, especially if you look at this in the context of the jurisprudence. 33 34 So do you think this is a limitation or actually widening the scope? In other words is medical or Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 111 1 scientific experimentation, is it to be regarded as torture or it could be regarded as inhuman and 2 degrading treatment. And I think this is in terms of interpretation of the text it might cause 3 certain problems in terms of interpretation. 4 MR O'MAHONY: I'll get Janet to answer that question. 5 MS LORD: It's a good question and a question is whether or not -- the understanding of that 6 component of Article 15 is that it prohibits medical or scientific experimentation in the absence 7 of informed consent, and that is torture. Not inhuman and degrading treatment or punishment. 8 That's torture. And the reason why it was specified in Article 15 as well as in a few but not all of 9 the earlier instruments was because of actually the persecution of persons with disabilities during 10 the holocaust that medical and scientists experiment without their informed consent and all those 11 some argued in the drafting of previous instrument that is really no need to specify that, because 12 it's already encompassed as part of the torture prohibition the feeling was it was so egregious 13 there was a sense it needed to be spotlighted and highlighted. 14 15 So basically Article 15 is drafted in line with that earlier articulation, which does specify that 16 medical and scientist’s experimentation without consent is part of the torture prohibition but not 17 cruel and unusual treatment or punishment component. And I think it's an important addition 18 and I think given the history of not only the holocaust but much more recently and currently of 19 engaging in scientific research and experimentation on persons with disabilities, particularly 20 those who are institutionalised without their informed concept I think it's an important issue. 21 22 The other question is can someone ever give informed consent when they are institutionalised to 23 medical and scientific experimentation that's an open question and a lot needs to be done on that. 24 CHAIR: Up the back, the very last person. 25 SPEAKER: My comment is a slightly facetious response to Gerard's statement. I think if you 26 look at the origins of mental health lack, which was basically the last vestiges of Victorian 27 welfare law, I agree with you that it's on borrowed time. 28 29 But if you look at what is killing people these days, I suggest that we start a health welfare law 30 or health wellness law, or heart welfare law, to prevent heart disease and that we basically 31 involuntarily detain people not taking care of their heart wellness and to ensure they take 32 medication and get enough exercise and follow sensible diet. We would be well ahead of the 33 curve! 34 SPEAKER: I would like to narrow down, please correct me if I'm wrong, in terms of healthcare Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 112 1 setting, if the treatment is not in regard to priority can it be regarded as torture, the second is we 2 saw the articles objective for example treatment can be turned to be negative without informed 3 consent can that be classified as torture. 4 5 I want to narrow down because I want the specifics to make sure my understanding is correct of 6 torture, concerned legally with Article 15 as mentioned before. 7 8 If the medical setting, if they have treatment with medicine and biology, for example treatment 9 without regard to that person for example can that be regarded as torture. 10 11 The second point is intervention going to be save or kill intervention turns to be negative, to be 12 harmful for the patient can you refer to that as torture. 13 MR O'MAHONY: So the question is if the treatment isn't based on medicine? 14 SPEAKER: Medical setting is not regarded as medicine and biology and it was given... 15 MR O'MAHONY: If it's forced treatment it doesn't matter where it happens. 16 SPEAKER: No, for example if the medicine, from disability maybe better disability, but 17 treatment for medicine... 18 MR O'MAHONY: If the treatment causes disability? 19 CHAIR: If you two had a chat that would be useful and you can have more time, would you be 20 happy enough with that? 21 SPEAKER: Yes thank you. 22 CHAIR: There is one last point over here, that is it. I'm drawing the guillotine on this 23 discussion. Charles, it has been a very interesting subject. 24 SPEAKER: I would just like to respond to Prof Janet about using the word in particular, I think 25 it is not a good strategy to only bring medical and scientific experimentation due to the holocaust 26 experience, if you look at the issue in broader context, for example do you think like lashing in 27 some Islamic countries that actually base their jurisprudence and laws on that lashing and 28 corporal punishment could be valid, and I think here looking at this issue it could be detrimental 29 to disability rights, because they need to put, not only to single out experiences from other 30 countries, but you need to specify or widen the scope or to just not mention the word in 31 particular. That's my point. 32 MS LORD: That's a great point. 33 CHAIR: I'll leave the last word with you. 34 MR O'MAHONY: I very rarely get the last word anywhere, but to say I don't think the Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 113 1 psychiatrists are too worry about the UN Convention on rights of persons with disability, I don't 2 think they are too worried about mental health disappearing as a field in the next 10, 20 or 100 3 years. 4 CHAIR: Thank you for that Charles, I think like every speaker Charles delivered a passionate 5 presentation and he thoroughly knows his subject and I wish him well with the rest of his studies 6 and I'd like to thank you for your attention. We didn't finish on time but I don't think we're too 7 late hopefully and I hope you have a good evening tonight and get time to rest up. 8 MS KEANE: Just one quick thing from me, a huge thank you to Mary Keogh who has really 9 done a great job at chairing today's session, she has been very diligent with timekeeping and I 10 think that you all probably appreciate that today because you are going to go partying later. So 11 just a reminder that the barbecue is in the Radisson Hotel tonight, food from 7.30 and music 12 hopefully a little after that so they have time to set up. So everybody is invited, hopefully we'll 13 see you all later. 14 15 Finally, just to remind the PhD students among you that we are going to meet, if you want to 16 gather at the coffee table and I will bring you through to the room that we are going to meet in. 17 Reminder PhD meeting now, barbecue later and thank you again to Mary. 18 19 Conclusion 20 Premier Captioning & Realtime Ltd. www.pcr.ie NUI Galway Summer School – 20 June 2013 A abducted 12:18 abductions 12:17 ability 86:25 able 8:18,26,29,33 9:13,15 10:9,18 11:10 17:1,2,9,18 18:12,14,16,20,25,28 23:15 26:34 28:14,23 35:14 36:21 41:5 44:4 48:23 49:2 50:23,24 51:9 56:20 60:17,33 68:30 69:8,15 79:9 81:28 83:4,16,17 85:5 96:34 100:12 101:19,22,24 102:5 abolish 106:25,30 107:5,13 abolished 98:11 abolition 93:23,29 107:9,17 abortion 12:7,9 abortions 12:8 about 1:26 4:14,16,33 5:2,30 6:16,17,19 7:16,21 8:34 11:2,29 12:31 13:1,2,3,9,29 15:25 19:13,14,27 22:1,23 23:7,10 24:13,23,24 25:17,27 26:25 28:14,15 29:34 31:1,2,15,20,32 32:1,17 33:9 34:11,19 36:3,4 38:31 39:5 40:12 41:3,4,10 42:6,20 43:15 44:22,24 45: abridged 96:30 abroad 79:5,7 87:32 absence 7:15 111:6 absolutely 61:11 abuse 95:9 96:11 abused 68:28 abuses 96:3 academic 7:4,17 14:29 academics 44:11 accelerate 49:24 accept 52:5 acceptable 12:4 accepted 92:14 access 11:2 61:25 62:11,13 66:28 100:13 accessibility 3:11 22:5,34 24:3,5 41:4 accessible 21:17 54:19 59:7 60:30 62:9,13 63:33 66:19 78:28 80:11,16 81:20,21 82:3 88:12,13,17 89:22,25 101:25,30 103:16,17 accidents 12:19 accommodate 103:10 accommodation 10:32 41:3 80:13,15 95:16,18 97:4 99:32 100:1,2 102:12 accommodations 80:10 accordance 1:15 35:9 94:29 according 12:8,12 43:9 accordingly 14:27 account 13:9 14:11,12 23:33 39:2,13 42:26 81:32 83:5,24 92:33 accountability 83:24 accountable 44:24 85:8 accounts 52:33 accreditation 43:8,18,29 accredited 59:21 accurately 110:21 accuse 98:13 accused 98:13 achieve 88:29 achievement 8:34 87:4 achievements 4:14 achieving 5:3 acknowledge 92:31 across 2:5,11 5:18,30 6:3 7:31 24:32,33 28:18,19 75:28 79:16 81:8 act 25:18 26:1,9,10 75:12,17 94:29 95:10 action 8:6 10:6,14,29 11:34 14:7 18:3 37:5 40:20,34 68:14 72:14,15 73:6,34 79:15 85:6 98:10 actions 8:4 41:2 81:21 active 13:25 21:16,18,33 52:19 57:15,19 58:14,24 61:10 68:28 89:32 actively 5:32 7:8 20:18 22:26 activist 89:33 activities 2:10 3:6 26:3 35:31 54:7,9 56:2 58:19,30 62:19 88:32 89:4 activity 26:4 58:28 72:9 actor 32:10 48:30 actors 8:1,4 18:2 32:10,22 52:32 55:27 64:21,34 88:24 93:34 actresses 88:24 acts 8:6 actual 20:4,10 65:28 93:10 107:5 actually 2:33 17:33,34 19:33 25:31 34:2 38:30 53:24 56:1 58:24 59:6 63:16 65:16 68:4 69:2,15 70:30 78:3,23,27,28,29,32 79:17,20,28 80:4,13,15 82:3 83:25 89:8 91:29,30 92:21,27 93:6,33 95:7,14,17,29 96:17,27,28 97:18,31 98:6,25,28,32 99:23 100:17,18,24,34 adapt 32:25 39:27,29 adaptation 49:34 adapted 48:7 75:29 adapting 103:12 add 8:8 33:18 37:14 89:21 93:5 addictions 25:20 adding 93:3 addition 16:26 25:19 100:14 104:6 111:17 additional 5:11 39:27 42:10 55:34 56:4 71:24 79:30 additionally 26:3 address 17:19,28 27:18 36:19,26,31 81:16 110:10 addressed 4:7 12:22,29 47:29 63:13,24 83:20 addressing 11:24 19:2 47:30 adds 8:22 93:6,10,11 adequate 54:9 adequately 53:20 adjournment 61:18 adjustments 101:34 administer 95:24 administered 98:23 administration 32:7 36:17 79:15 admission 9:14 109:30 admissions 9:31,33 admitting 109:31 ado 1:20 61:29 adopt 3:6 15:34 34:6 84:31 adopted 4:16 16:14 17:33 21:29 23:19 25:17 42:34 43:7 50:19 59:14 adoption 34:11 adopts 15:11 16:33 advance 2:9 29:25 advancement 74:4 adversarial 83:28 105:6 advice 30:3 45:4 48:20 advise 20:3 36:12 37:12 46:8 advisor 61:26 advisory 36:6,10 45:2,6 46:4,29 49:15 advocacy 1:7,16 2:11 5:32 6:21 27:29 57:17 71:32 74:5 76:15 78:18 80:27 86:32 advocate 18:2 19:2 54:32,33 81:29 85:1 88:27 advocates 56:6 82:2 85:14,21 advocating 7:34 affairs 37:34 47:25 55:6 82:27 86:18 affect 12:3,16,27 affected 64:24 65:10,12 66:23 affects 40:21 afford 67:10 afraid 62:33 after 15:9,25,34 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5:12,16,30 6:2,3,4,8,9,11,32 7:15 8:32 10:18 11:14,19 12:27 13:23 15:2,18,31,32 17:33 18:23 20:13,19 21:17 22:3,5,11,27 23:1,11,22 24:10,18,32 25:22,23 27:34 28:1,29 29:1 30:17 31:2,3,29 32:29 34:18 35:19 36:3,5,28,33 37:13 40:13,20,29 42:31 43: allegation 95:10 allegations 27:9 96:11 alleging 91:26 99:19 101:27 alleviating 109:8 alleviation 65:1 allied 76:31 allocated 8:5 allow 108:9,10 allowed 17:16 51:18 109:13 allows 26:3 69:10 74:5 almost 43:34 47:32 66:29 73:26 105:16 alone 61:3 67:28 already 11:7 21:30 25:19 28:4 29:5 30:5 31:2 32:30 33:5,22 34:34 35:15 38:10 42:33 51:22 64:28 70:26 79:7 111:12 also 1:7,18 2:12,20 3:9,24,27 5:19,26 6:3,23,26,29 7:4,17,25,34 9:26 10:11,14 11:9,19,30 13:18 14:29 15:2,17,18 16:32 17:8,14 18:8,20 19:2,11,14,28 21:14,21 22:16 24:13,15,18 26:10,13,14,17,18,22 27:25 29:21 30:1,22,25 31:19 32:2,22,23,29 33:21,25,28 34:1 altercation 102:3 alternative 4:22 110:25 alternatives 107:23 although 2:30 30:21,24 36:10,22 48:28 50:30 62:7 63:13 64:4 106:6 altogether 6:17 always 3:33 13:23 28:29 49:1,27 69:34 70:24 89:17,19 amazing 29:7 ambitious 74:2 ambulance 102:4 amend 24:8 amendment 25:18 among 23:5 62:18 75:9 113:15 amongst 5:23 43:2 45:26 amount 7:20 63:5 65:15 67:7 90:7 99:23 100:1 101:30 102:18,26,27 103:5 amounted 103:4 amounting 100:19 analyse 5:22 analysing 5:11 7:10 analysis 5:12 7:10,22 8:31 9:6,23 11:11 and 1:7,9,13,14,15,17,20, 22,30,31,32 2:2,3,5,10,11,12,15,1 9,20,23,24,25,26,31,3 2 Premier Captioning & Realtime Ltd. www.pcr.ie 3:3,6,7,8,9,11,12,13,1 5,20,24,27 4:1,2,7,10,16,18,26,2 7 5:11,12,20,22,23,29 6:7,9,12,18,20,21,26, 28,30,32,34 7:1,4,8,9,11,14,15,18, 20,25,29,34 8:6,10,11,18,21,23,24 ,29,30 9:1 angle 109:28 animals 105:10 announce 36:22,23 announced 89:1 96:16 annual 72:3 anonymously 18:28 20:27 another 10:4 11:6 12:16 13:11 20:34 25:29 35:6 36:5 37:14 39:23 42:16 45:5 46:19,28 57:10 58:20,21 64:29 71:28 75:21 76:9,14,23 79:9,26 83:20 86:28 87:7,11,12 99:17 102:15,21 answer 28:27 33:1,11 34:8 36:21 37:1 42:7 49:21,24 50:1 52:2 75:7 103:8 108:32 109:25,26 111:4 answering 77:14 answers 17:27 65:16 68:19 91:9 104:3 107:14,29 anthropologist 60:27 67:9 75:28 76:3 anti 85:6 110:15 any 4:13 7:20 8:14 13:1,3 19:5 22:7 24:25 26:2,21 29:1 36:15 39:28 42:1 43:5 45:30 46:18,26 47:6 51:23 52:6,14,27 56:1,31 57:26,32 58:17 59:14,19,30 62:16 64:26 65:7 68:1,28 70:16 72:31 76:11 77:2 79:27 81:1 82:19 89:6,8,14 94:31 96:9,17 99:12 101:28 103: anybody 29:6,11,12 33:10 56:4 74:24 89:6,8 98:11 107:31 anyone 22:7,9 85:31 anything 29:12 30:29 33:12 57:9 64:8 66:1 70:5 74:31 75:4 90:15,16,17 93:4 anyway 56:34 anywhere 61:5 112:34 apart 74:4 75:22,23 apparently 95:4 appeal 10:31 26:9 27:16 appear 18:27 appearance 33:20 appears 100:10 applicable 34:2 applicant 100:12 applications 80:9 applied 27:16 65:5 applies 93:5 94:22 apply 43:29 57:2 78:32 applying 80:3 appoint 35:18 37:26 40:1 45:17 46:11 57:7 appointed 35:24 38:1,27 appointing 78:21 appointment 79:6 appreciate 66:21 87:19 91:13 113:10 appreciated 22:13 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103:32,34 106:18,22,32 109:1,5,8 arouse 100:15 arrested 98:15 102:3 arrived 1:4 articles 15:30,31,32 29:22 30:17 32:2 50:33 93:17 102:13 112:2 articulate 5:23 articulating 102:11 articulation 111:15 aside 42:15 ask 6:11,23 8:14 13:1,3 17:2,19 19:5 26:25 29:6 30:28 32:34 36:16,18,30 48:20 57:19 59:32 60:27 68:1 74:33 88:28 107:31 asked 34:17 37:12 50:31 70:12 76:1 91:24 96:33 98:15 asking 15:12,27 16:8 17:24 59:16 68:19,24 97:7 aspect 22:3 24:13 31:16 34:10,29 35:8 37:12 39:16,32 42:25 45:31 46:28 49:5,10 55:4,25 83:32 85:10 102:15 aspects 20:19 21:3 22:5 29:30 32:18,23 33:8 NUI Galway Summer School – 20 June 2013 34:13,14,30 59:4 85:15 105:34 aspirational 66:3 assessable 66:13 assessed 109:11 assessment 4:27 35:25 assigned 61:32 assistance 26:20 41:16 62:13 63:1,8 65:2 77:31 80:18,34 84:6 89:20 101:23 assistive 62:13 associate 61:28 77:16 association 109:29,31 associations 88:5 assume 60:6 75:34 106:15 assumed 71:2 assuming 70:16 71:5 75:21 assumption 73:8 108:13 ate 73:16 atmosphere 19:15 attainable 7:34 attempt 80:33 101:29 attempting 77:33 attended 14:1 attention 24:20 28:26 29:2 30:33 31:7 54:7 67:7,15 68:34 69:5,10 70:26 90:9 102:10 113:6 austerity 84:3 author 29:21 authorities 34:16 102:9 authors 20:6 autism 87:11 autonomy 110:4 avail 72:6 available 2:24 7:16,18 8:10 9:24 10:13 13:21 17:16 23:14 24:14 29:11 60:5 92:25 95:4 avoid 37:26 46:31 53:22,23 60:22 78:11 avoided 27:16 avoids 38:28 awaits 17:6 aware 34:12,34 51:12 56:31 102:3 105:2 awareness 11:28 24:7,9 40:18 42:20 51:14 57:21 58:19,20 67:32 78:17 79:13 83:29 86:23 103:15 away 11:26 102:3 106:10 107:21,22 110:1 awe 70:29 awful 110:22 aye 99:3 Adis 70:12 Administrative 26:8,9 Afghanistan 81:2 Africa 3:2 75:4 90:9 African 52:29 AIDS 68:25,26,34 69:4,5,8 72:10 79:16 81:13,15,19,27,33 84:26 Alberto 13:23 Albino 75:2 Alliance 1:13,23,24 America 3:2 American 2:2 6:25 89:33 109:29 Americas 19:31 Amicus 41:8 Amnesty 91:6 107:19 Anna 97:3 April 3:12 22:19 Arab 2:2 Arabic 8:11 Argentina 19:1 Article 3:15,16 8:31 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77:32 88:20 105:9,25 called 3:27 4:22 7:9 12:19 15:11 23:20 43:22 58:22 99:13,19 109:29 calling 21:16 69:4 calls 11:34 27:5 63:32 109:22 came 12:8 21:4 52:4,11 61:27 63:27 64:22 67:3,6 75:15 79:6,21,23 89:10 90:2 94:19 96:2,7 101:21 106:28 campaign 69:2 88:13,17 107:20 campaigns 24:8,9 91:7 can't 43:16 60:9,11,21 66:22 67:10 68:15 79:20 80:29 85:10 101:1 108:32 can 1:26 2:25 4:7,27 7:1,18,20,22 9:7 10:17,31 11:25 12:4,8,9,32 13:18,21,26 14:3,14,15,29,30 15:3 16:19,22,25,26 18:5,6 19:11,12,15,16 20:6,13,21 22:10,11,16 23:10,12,28 24:11,29 26:11,13,18,22,28 27:1,13 28:22 29:12,33 30:28,30 32:28,29 33:11,12,18 34:2 candid 109:30 candidate 52:16 cannot 12:2 20:17 22:2 30:21 34:24 39:28 44:3,6,13 48:13 57:2 61:11 83:8,15 86:9 89:12 95:24 cans 25:24 capable 38:14 capacities 29:34 capacity 2:13 3:11 5:29 31:2 36:8 37:22 46:17 62:10 80:23 82:12 83:9 85:7 86:25,28 87:18 97:1,30,31 100:6 101:5 103:32 106:11,13,24 capital 6:3 106:15 caps 93:9 capsule 47:24 captions 87:26,28 captured 110:4 care 9:32 36:24 38:11 40:1 67:4 68:30 81:15 94:34 96:10,22 100:23,25 102:10 103:1,4 104:19,21,25 106:10 111:31 carried 12:9,10 21:16 22:26 carry 33:27 38:4 58:4 62:2 case 4:1 20:12 21:9 26:10 29:34 41:13 47:14,20 48:12 52:6 55:25,29 70:17 73:26 83:10 91:24 98:29,32 99:1,3,4,7,17,31 100:4,5,10,23 101:2,7,11,12,27,34 102:1,15,21,22,29 103:27,31 105:13 106:3,4 107:10 108:3,34 109:4,10 cases 1:19 14:21 26:3 39:29 67:22 86:32 91:26 98:4 101:10,33 NUI Galway Summer School – 20 June 2013 103:8,19,24,25,30 106:3 categories 45:16 category 46:10 65:17 84:25 cattle 98:13,17 cause 34:3,6 111:2 caused 12:11 causes 112:18 caution 105:25 cautious 97:18,24 cease 28:3,18 41:33 cell 101:16,19,25 cells 96:9 104:18 census 67:22 central 7:14 centralisation 61:8,10 centralised 39:1 centre 1:6,16 29:26 50:10 52:17 61:23 62:32 88:4 centres 13:18 14:29 81:21 94:27 96:22 century 98:16,19,24 certain 5:31 11:16 15:12,13 16:6,29 20:20 34:23 41:5 58:8 71:14 103:19 108:19 111:3 certainly 11:24 19:30 20:16 58:29 59:31 60:3,15 66:21 68:4 69:31 80:17 90:24,31 106:28 107:20 108:3,23 chain 68:17 chained 102:24 chairing 110:17 113:9 challenge 53:19,20,33 78:30 79:9 108:32 challenges 3:30 4:16,18,28 52:25,27 53:28 55:10,34 56:25 57:23 77:23,25,27 78:25 87:25 91:22,24 challenging 6:11 54:23,24 78:2 93:21,24 107:23 chance 54:28 57:26 chances 61:3 change 25:22 35:34 40:31 44:3 51:17,19 56:19 61:20,21 73:14 82:33,34 83:1,13,28,32 84:20,23 86:4 changed 95:29 changes 11:25 changing 38:5 73:16 channel 83:13,19 channels 46:23 characterise 58:19 characterised 81:32 charity 86:16 89:2 chat 29:12 112:19 cheered 74:22 chemotherapy 102:23 child 10:1,4 24:17 28:6 31:10 41:3 63:19,20 81:23 childhood 70:32 children's 6:32 children 6:23 7:16 12:17 22:28,31 23:13,15,33 66:23 68:1,3,4,5,10 70:33 71:18 72:3,4,5,6,20,29 84:26 88:24 choice 18:24 choices 42:1 49:2 71:25 choose 35:4 38:34 39:22 44:4 46:19 60:17 61:10 choosing 49:2 circles 16:21 circular 15:6 circumstances 2:1 95:10 97:30 100:17 102:8,18 103:13,19 citizens 23:5 47:15 city 7:21 19:31 60:32 88:12,13,17 89:24,25 civic 65:2 73:2 civil 4:34 5:17,21 6:7 7:17 9:26 14:12 15:1 24:16 25:16 32:15 36:3 44:10,17 45:21,27 46:9 51:23,30,33 52:8,18 53:2,12,18 54:20,27 55:21,24,30 57:9,10,11,15,17 58:31 60:5 62:7 64:10 67:33 80:14 81:22 90:21 92:6,22 96:3,4 104:33 claim 41:16 46:24 54:29 claims 20:32 46:20 clarification 15:12 17:2,31 classified 112:3 clear 5:17 7:29 8:9 12:10 27:7 32:22 49:21 51:14,17 54:12 82:34 91:30 103:9,24,32 104:26 106:5,9 clearance 78:34 79:8 clearly 8:18 10:7 22:2 51:16 60:26 68:11 82:14 94:1 95:3 97:32 99:29 101:4 climate 12:32 52:14 climb 33:30 49:25 clinic 66:22 clips 87:24 close 31:32 32:25 46:13 88:33 90:30 100:31 closed 15:34 closely 20:19 closer 31:20 38:5 closing 46:25 clothes 100:14 clubhouse 88:23,25 clusters 15:29 coalition 5:6,9,15,26,31,33 6:12,16 14:20,24,30 56:13,19,27 81:30 coalitions 6:28 14:20 coat 100:12,26 codes 35:15 coercion 107:22,27 coffee 17:1 29:7,12,13,15 90:18,34 91:2 113:16 cogence 92:15 coherence 24:33 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commit 106:14 commitment 31:25 32:11 41:28 56:18 committed 60:7 101:12 committee's 3:6 6:19 7:30 15:18,22 16:11 17:11 26:11 58:10 97:24 committee 1:14,17,27 2:16,19,20,29,34 3:1,14,21,24,27,28 4:1,10,13,17,21,27 5:16,18,20 6:8,29 7:20,22 8:26 9:10,19 10:17,34 11:18,21 12:13 13:3,7,9,13,16,22,24, 27,34 14:34,2,7,8,11,16,20, 23,31,34 15:7,10,12,20,26,29,3 4 16:5,29,33 17:2,3,6,8,15,17,18,1 9,21 committees 27:31 46:14 75:12 104:15 common 6:6,18 26:30 37:13 52:5 53:4 74:20 106:33 commonly 19:34 communicate 102:4,5 communicated 108:15 communication 1:19 36:30,31 37:23 communications 3:7 communities 57:2,20 61:26 69:26 75:33 community 9:17,21 10:24,26 27:10 54:31,32 55:5 56:33 57:6 61:1 68:34 71:32 74:14,15 75:14,16 77:8 80:20,25 81:20 85:4,21 89:4,13,14 90:13 97:7 98:1 101:2,4 106:6,11 107:27,28,29 company 12:20 63:16 comparable 9:14 comparatively 19:17 compare 17:9 51:5 57:27 comparison 76:16 105:13 compatibility 41:21 compensation 12:20 compete 83:15,16 competence 47:21 competences 39:2 competencies 37:25 38:22,23 competing 77:7 competition 77:12 complaining 69:18 101:19 complains 10:8 complaint 36:27,29,34 41:3 56:15 94:5 complaints 10:13,14 41:2,4 45:1 103:17 complete 49:20 completely 17:29,30 32:24 74:14 108:18 completing 91:7 complex 60:14 66:26 70:29 71:12 complexities 71:22,31 90:20 complexity 71:24 77:21 81:7 compliance 10:9,22 24:4 36:1 43:10,19,20 49:30 compliant 27:17 39:28 53:33 complicated 32:23,29 38:8 42:8 45:13 49:21 complied 51:15 complies 39:30 compliment 4:26 96:12 comply 38:4 102:17 component 65:19 74:3 77:33 90:3 111:6,17 composed 3:1 comprehensive 2:23 6:2 7:28 32:18 compulsively 26:8 compulsory 107:27 comrades 71:10 concentrate 8:31 concept 91:32 92:3,8 108:19 111:20 concepts 63:7 conceptual 107:34 concern 5:10 27:19 38:29 86:14 concerned 31:13,19 34:25 35:13,16,27 36:10 38:13,31 39:20 44:9 46:7,22,32 48:28,34 82:17 105:32 112:6 concerning 19:15 41:13 56:28,32 57:12 concerns 3:30 4:6 7:32 8:9,27 11:15 17:11 18:15,17,23,27 20:4 21:10 23:18 25:17 28:34 30:9 32:6 33:26 34:18,30 36:19 38:24 41:20 46:28 108:3 conclude 104:3 concluded 100:33 concluding 3:6 7:30 12:13 14:13,14 15:19 16:34,1,5,14 17:33 19:21 21:5,12,13 22:3 23:19,24 26:11 27:13 41:28 42:14,15,22 94:13 conclusions 12:31 52:29 58:1 concrete 4:33 7:29 10:21 21:12,13 22:25,30 23:4 24:24 28:32 condemning 5:2 condition 108:22 conditionality 90:24,25,26 conducted 9:27 conducting 5:10,11 conference 19:29 28:27 conferences 75:22 confessed 98:26 Premier Captioning & Realtime Ltd. www.pcr.ie confinement 27:16 102:17 confiscated 102:5 conflict 27:26 34:6 79:5 conflicts 108:33 confronted 33:25 conjunction 102:13 connected 81:30 93:30 connection 55:30 97:29 104:33 conscious 22:10 60:19 consciousness 58:22,26,33 consensus 53:29 75:21 84:9 consent 108:9,10,11,14,16 111:7,10,16,22 112:3 consents 96:18 consequences 62:34 97:23 consider 12:31 16:29 37:9 53:30 89:3 93:19 consideration 2:31 12:33 19:28 37:3,7,8 considered 6:12 55:9,32 72:21 87:1,2 88:27 89:16 101:34 109:12 considering 102:8 consistent 25:5 82:10 consistently 84:2 90:10 consists 56:12 constituencies 5:12 6:3 constitution 11:4 21:15,21,22,23,24 91:33 92:1 constricted 95:9 constructed 110:5 construction 100:27 constructive 5:3 10:21 14:15 20:23 21:31 57:25 consult 3:29 16:23 20:19 60:9,11,12,25 consultation 6:24 8:23 19:34 21:7 23:32 53:23 58:14 60:23 76:13 consultations 85:25 consulted 22:4 23:12 36:5 37:31 consulting 6:23 60:7 consults 20:32,33 21:2,4 77:18 consuming 48:22 contact 28:21 36:14 40:20 60:31 70:16 91:7 contained 96:32 contempt 101:12 contend 43:18 content 30:24 47:2 contentious 84:8 93:13 contested 101:23 context 9:27 11:1 30:23 40:22 70:5 77:25,28 78:5 79:6,15,16 80:14 81:12 83:3 84:28 91:24 93:18 110:28,32 112:26 contexts 21:10 33:22 continually 69:3 77:12 84:24 continue 6:21 12:4 15:5 16:15 34:28 42:4 45:26 103:33 108:23 109:6 continued 12:11 29:29 52:1 continues 12:28 continuing 18:18 continuous 49:31 52:9 continuously 52:8 contradiction 108:22 contradictions 46:31 contribute 7:1 77:34 contributes 7:6 116 control 24:3,5 26:12 27:14 31:25 controversial 93:26,30 controversially 99:22 controversy 48:12 62:33 107:10 109:28 110:14 conventions 34:7 38:30 51:16,18 63:7 73:9 conversation 64:29 66:9 conversations 78:29 conversing 110:20 convey 86:32,33 convicted 102:30 cooperate 86:32 cooperates 48:7 cooperating 101:13 coordinate 35:26 86:18 coordinating 86:17 coordination 14:31 32:6 33:31 37:4,8,9,16,17,21,28, 30 38:13,15,16 43:23 46:2,29,32 49:13 51:28 52:6 56:11 coordinator 1:7 78:22 copies 57:18 copy 72:27,33 core 11:22 25:2 92:3 99:31 102:10 104:29 105:34 corporal 112:28 correct 74:34 100:34 111:34 112:5 correlation 90:29 corresponded 98:26 corroborated 98:26 corruption 8:24 cost 80:9,13 81:19 costing 80:13 costly 81:25 could 3:30 4:30,32 7:30 10:3,18 13:32 16:10 19:10,13,23,24 20:22 22:12 28:4,9 37:12 51:2,29,30 52:13 63:5 64:4 67:10 72:21 76:3 83:28 87:4,8,30 90:31 98:14 102:4 108:22,25 111:1 112:28 couldn't 74:31 79:8 101:16 counselling 81:15 counter 20:9 countries 5:21,34 6:7,16,25 9:14,15 19:17,20,24 26:2 28:9,10 34:1 35:5 37:15,34 45:9 52:26 53:28 54:14,32 55:23 58:31 59:30 60:25 61:3 62:21 63:28 67:18 68:15 69:14,15 73:14,17,18 74:6,7 76:23,27 77:3,5 78:13 79:7 81:2,3 83:10,13 84:3 89:14 94:2 112:27,30 country's 43:29 country 4:3,28 6:6,33 7:24 8:23 9:27 10:22 12:3,17 15:1,26 18:1,9,13 20:21 25:16,27 28:33 33:29,33 35:6 37:12 44:33 45:18 47:12 53:34 54:3,33 56:32 57:27,28,31 60:10 65:13 66:13,20 71:13 72:31,32 73:13 76:13 77:3 79:7,9,32 81:30 83:1,33 86:22 87:22,25 89: counts 39:16 couple 66:27 67:20 71:15 76:8 86:17 89:34 100:5 NUI Galway Summer School – 20 June 2013 course 2:32 3:33 4:3,21,25 5:12 6:20,28,29 7:14,28 8:16,20,24 10:1,28,31 11:18,30,33,34 12:2,11,16,26,27 14:7,13,26,29 15:9,17 16:22 17:13,17,20,24,25,28 18:8,14,23,27 19:34 20:3,11,21 21:9,32 23:18 24:14 26:31 28:28,32 30:24 31:24 34:24 35:29 44:17,28 46 courts 26:23 41:17 99:31 103:33 110:28 covenant 24:16 92:6,22 cover 24:16,18 40:13 61:11 covered 15:31 23:12 32:18 40:2 45:5 54:24,30 73:4 covering 4:3 6:8,24 23:1 27:34 covers 16:27 62:15 create 30:14 36:12 37:7,15 39:23,24 40:6 41:31 42:19 45:16 47:3 52:13 59:33 94:25 created 42:34 44:3 45:10 94:18 creates 5:26 45:2 creating 38:17 47:14 49:16 88:30 101:3 creation 38:20 44:2 50:15 63:15 crew 72:4 cried 87:34 crimes 106:15 criminal 91:8 101:13 102:30 106:13,16 107:2 criteria 43:1 44:2 criticised 105:33 criticism 55:20,24 57:24 84:22 85:20 crosscutting 63:13 crossed 40:7 cruel 92:7,28 93:4 105:20,22,27 108:2 111:17 cultural 6:6 7:9 9:27 14:2 21:10 75:34,25 76:3 96:4 curious 19:27 current 53:9 72:6 currently 1:29 3:1,15 21:22 27:29 29:19 30:2 50:10 51:28 64:4,30 68:11 72:1,13,20 74:3 77:16 111:18 cursory 107:4 curve 111:33 custody 102:4 104:18,27 cut 64:12 82:15 cycle 16:18 Camilla 103:30 106:2 Canada 73:13 CAT 26:33 27:13,30 94:17 95:9,11 104:16,20 CBM 1:7 Charles 91:5,8 105:4 110:2 112:23 113:4 Charleston 50:9 Charlotte 78:21 79:12 80:3 Cheshire 61:22 Chi 88:13 89:24 China's 10:1 China 8:16,18 10:1,21 12:17 13:29 18:23 19:13,15 20:16,25,31,33 Chinese 86:21 CHAIR 1:3 25:13 29:4,17 50:4 52:16 58:17 59:12 61:15,20 71:14 74:23 76:5 77:15 82:19,20 89:6,29 90:18,33 91:4 105:4 107:30 110:8,17 111:24 112:19,22,33 113:4 Civilisation 91:33 Clarify 43:14,15 Colombia 91:31 Commission 43:8 48:16 55:8 56:1,12 57:31,32 77:18 94:27,34 99:3,19 102:12 106:22 Commissioner 30:2 43:6 55:9,29 93:20,28 106:23 Conclusion 48:3 107:13 113:19 Constitutional 91:34 Convention 3:9,18,20,27 4:3,17 6:8 10:22 20:20 24:16,17 27:22 29:21,30 30:10,11,17,19 31:3,9,15,28,29,33 32:7,12,20 33:5,9,12,18,22,24 34:21,23,25,32 35:10,20,21,27,34 36:1,2,5,8,16,24,28 38:3,10,23,31 39:1,12 40:4,10,13,23,24,27,2 8,30,31 41:9,10,20,21,22 Council 2:12 49:10 59:22 79:1,22 91:24 95:33,34 96:1 98:21 Court 1:17 41:13 79:15 91:25 92:20 96:1,12 98:4,33 99:1,18,22 100:18 101:10,12,27,28 102:8,9,18,26,31 103:4,5,25,27 105:31 106:3 108:33 109:10,15 110:28 CPD 21:4 CPT 100:24,29 106:9 CRPD 1:15,27 2:9,11,16,19,29 3:15 4:1,11,13,18,27,32,33 5:3,10,16 6:18,20,29 8:10,18 9:6,9 10:10,11 11:29 12:5,12,23 13:2,21,34 14:8 15:7,32 16:3,16 18:18 20:17,31 22:5,15 24:14,22,32 25:1,6 26:29 27:4,17,21,23 28:1,5,10,11,13,15,18 ,23 31:6,13 33:13,17,22 Curiae 41:8 Curie 52:16 D daily 31:30 36:24 37:14 danger 108:25 dangerous 59:26 100:14 dark 63:10 data 5:11 7:5,6,14,15,16,20 10:12 11:30 41:23,24 52:26 65:4 67:27 72:6 73:33 80:4 date 30:2 84:31 85:6,17 dating 2:34 day 1:9 3:12 15:21 43:16 55:30 65:14 86:2 87:34 88:19 101:21 days 3:9 85:33 102:6 111:29 daytime 102:33 dead 90:16 106:4 deadline 60:24 deaf 1:32 6:1 54:31,33 102:1,2 deafness 75:28 deal 22:11 34:23 36:27 60:12 62:33 75:26 76:23 104:5 106:20 dealing 90:31 dealt 38:25 102:33 death 12:20 debate 4:8 90:26,27 110:5,17,23 debt 101:13 decades 42:33 decentralised 65:1 decide 16:27 33:28 67:14 decided 98:19 100:23,33 101:10 102:9 103:22 decision 20:26 26:24 27:15 37:28,31 38:18 41:14 46:26 52:19 109:22 decisions 3:7 10:31 109:23 declaration 33:19 deconstructing 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18:12,20,29 28:29 32:1 35:10 39:12 50:5 51:17 59:25 65:32 96:34 presentation 2:15,18 19:26 29:9,25,27,31 30:31 32:3 34:29 48:1 59:13 61:15 74:27 85:34 90:19 91:15 92:25 95:33 105:5 106:12 110:27 113:5 presentations 29:23 85:33 86:34 presented 9:11 14:32 presenting 28:7 president 78:21 82:33 press 71:17 72:22 pressing 5:19 22:7 73:23 pressure 61:8 104:19 presumably 64:34 107:17 presume 60:33 pretty 20:3 79:2,5 108:10 prevent 104:8 109:17 111:30 preventative 50:28 95:4 preventing 91:23 94:22 95:8 prevention 11:9 91:18 94:18,20,26 96:8,15,20,24,25,27 97:11,13,19,34 100:25,31,34 104:16,20,26,31 previous 26:11 50:24 95:16 111:11 previously 90:29 primed 91:8 principal 2:32 principle 48:27 53:33 92:15 principles 12:11 39:13,18 42:26,27,29 43:2,5,10,13,32 44:16,22,30 46:8,9 48:32 49:17 50:3,17,19,26,30,31 52:7 59:14,15,17 93:7,9 96:32 98:1 104:1,11 105:1 print 57:18 priorities 5:18,23 7:29 11:13,24 12:31 14:3 26:29 34:20 44:5 49:2 66:26 priority 4:26 5:9 11:34 12:22,24,26,29 16:12,28 28:34 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13:15 14:19 programme 64:17 68:2 74:26 79:17,31,33 80:14 81:19,27 90:31 programmes 23:21 47:14 62:9,11 63:28,33 64:2,3 65:10 72:22,23,25 78:12,13,18 80:23,25,34 81:22 83:21 90:3,9 programming 81:13 progress 41:24 65:7,12 68:20 105:33 progressive 92:12 108:34 progressively 34:21 prohibit 27:5 prohibiting 91:17 98:6 prohibition 92:10,14 96:6 98:30 99:4 100:20 111:12,16 prohibits 95:25 111:6 project 52:17 64:17 77:17,31 79:16,20,22,32 80:5,11 81:14,27,29,31,32,34 83:15 87:7 88:8,28 89:4 projects 44:24 77:26,30,32,33 80:9 81:1,9,17,20 82:16 86:15 87:9 88:34 90:4,10 promising 19:23 52:27 55:32 promote 19:15 23:20 24:8 39:11 40:17,27,28,31 41:22 42:31 44:19 48:19 78:12 87:8 promoting 40:21 promotion 39:17 40:17,18,25 58:18,21 62:6 propelled 107:8 proposal 65:24 80:13 proposals 80:1,9 propose 8:1 11:25 18:2 20:1,9 39:4 47:1 proposed 32:26,31 proposes 16:28 proposition 108:22 prosecutions 12:21 protect 39:11 40:18 42:31 44:19 45:4 68:29 protecting 44:18 96:3 NUI Galway Summer School – 20 June 2013 protection 10:10 39:17 40:34 41:8 49:12 protocol 36:28 40:10 50:29 51:3 94:3,17,19,25 97:27 102:24 protocols 51:4 prove 98:20 provide 4:1 17:31 26:11,13,18,22 34:16 36:22 39:27 41:13,22 43:2 45:4,7 82:5 83:12 86:25 88:7 89:20 95:24 99:32 100:34,1 103:3 106:10 provided 8:30 10:32 17:17 30:2 36:8 48:24,31 54:9 56:1 58:4 92:29 95:2 103:16,17 107:24 providers 47:13,16,19,21 48:26 provides 37:3 42:10 45:34 46:1 74:5 92:6 96:8 98:30 providing 41:8 62:12 80:8 88:1 108:34 proving 26:32 85:28 provision 8:10 21:22 31:33 32:17 39:15 45:29,30 50:1 51:32 83:23 89:21 92:28 provisions 3:14,20 8:32 10:29 12:2,4,7,12 30:21 32:2 39:30 45:32 49:22 65:31 82:16 psychiatric 9:15,16 27:10 95:26 96:10,21 97:12 104:18,21,24,25 109:29,31 psychiatrists 109:22 113:1 psychiatry 1:32 26:34 27:29 psychosocial 9:31 23:26 25:24 27:6 106:14 public 4:7 11:28 26:12 40:32 86:24,33 91:6 108:9 publications 60:3 publish 96:27,28,30 published 19:22 76:5,14 96:20 97:6 pull 69:10 punished 102:16 punishment 91:12,17,23,27 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